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How to use or fill out nyc hra forms with our platform
- Click ‘Get Form’ to open the HRA-102 form in the editor.
- Begin by filling out Section I, which includes your name, case number, social security number, telephone number, mailing address, and any known HRA program/service details. Ensure all information is printed clearly.
- Move to Section II to detail the reasonable accommodations you wish to appeal. Describe each denied accommodation and its denial date. You can attach additional sheets if necessary.
- Explain why you believe the HRA's decision was incorrect in the provided space.
- Indicate whether you were offered an alternative accommodation by checking the appropriate box and providing an explanation if you do not accept it.
- Sign and date the form at the bottom. If applicable, have your authorized representative sign as well.
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