Form CIV-LT-61 "Tenant's Request for Inspection" - New York City

What Is Form CIV-LT-61?

This is a legal form that was released by the New York City Housing Court - a government authority operating within New York City. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2006;
  • The latest edition provided by the New York City Housing Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CIV-LT-61 by clicking the link below or browse more documents and templates provided by the New York City Housing Court.

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Download Form CIV-LT-61 "Tenant's Request for Inspection" - New York City

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Civil Court Index No: LT/HP
Department of
Housing Preservation and Development
County of
Division of Code Enforcement
(Form A-B)
Housing Part:
Room
The case of
TENANT'S REQUEST FOR INSPECTION
vs.
will appear on the Court Calendar on:
Tenant's Name:
at
AM/PM
Tenant's Address:
Is there a child under the age of 6 residing in this apartment? Yes
No
If yes, please provide name and age or date of birth for each child.
Apt. No.
Floor:
Name
Age/Date of Birth
Tenant's Phone #''s: Home:
(
)
Work:
(
)
You may gain access by contacting:
TENANT'S ALLEGATION OF VIOLATIONS
DIVISION OF
CODE ENFORCEMENT
Inspector's No:
Date:
Signature
Condition(s) - Be Specific
Apt. No. (Or
Which
REPORT
Public Area)
Room?
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
In connection with the above mentioned case in the Civil Court of the City of New York, I, the tenant of the apartment referred to, wish to call the Court's
attention to the conditions listed above which I allege are violations, and request that an inspection of the property be made to verify my allegations.
Tenant's Signature:
Date of Request:
INSPECTION TIME
INSPECTION DATE
10 AM - 2 PM
2 PM - 6 PM
An inspector will come to inspect these conditions on:
5 PM- 9 PM
Weekend 10 AM - 3 PM
Staten Island 10 AM - 2 PM
CIV-LT-61(9/06) (Replaces A&B)
FREE HOUSING COURT FORM
No fee may be charged to fill in this form.
Form can be found at: http://www.nycourts.gov/courts/nyc/housing/forms.shtml.
Civil Court Index No: LT/HP
Department of
Housing Preservation and Development
County of
Division of Code Enforcement
(Form A-B)
Housing Part:
Room
The case of
TENANT'S REQUEST FOR INSPECTION
vs.
will appear on the Court Calendar on:
Tenant's Name:
at
AM/PM
Tenant's Address:
Is there a child under the age of 6 residing in this apartment? Yes
No
If yes, please provide name and age or date of birth for each child.
Apt. No.
Floor:
Name
Age/Date of Birth
Tenant's Phone #''s: Home:
(
)
Work:
(
)
You may gain access by contacting:
TENANT'S ALLEGATION OF VIOLATIONS
DIVISION OF
CODE ENFORCEMENT
Inspector's No:
Date:
Signature
Condition(s) - Be Specific
Apt. No. (Or
Which
REPORT
Public Area)
Room?
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
In connection with the above mentioned case in the Civil Court of the City of New York, I, the tenant of the apartment referred to, wish to call the Court's
attention to the conditions listed above which I allege are violations, and request that an inspection of the property be made to verify my allegations.
Tenant's Signature:
Date of Request:
INSPECTION TIME
INSPECTION DATE
10 AM - 2 PM
2 PM - 6 PM
An inspector will come to inspect these conditions on:
5 PM- 9 PM
Weekend 10 AM - 3 PM
Staten Island 10 AM - 2 PM
CIV-LT-61(9/06) (Replaces A&B)
FREE HOUSING COURT FORM
No fee may be charged to fill in this form.
Form can be found at: http://www.nycourts.gov/courts/nyc/housing/forms.shtml.