Low or No Heat Tracker Form
By using this form you can help the TA spot trends in buildings with heating problems.

In New York City, from October 1 to May 31, the "heat season," between the hours of 6:00 AM and 10 PM, if the outside temperature falls below 55 degrees Fahrenheit, the inside temperature is required to be at least 68 degrees Fahrenheit.

Between the hours of 10:00 PM and 6:00 AM, if the temperature outside falls below 40 degrees Fahrenheit, the inside temperature is required to be at least 55 degrees Fahrenheit.

Remember to document all contact you have with Management or any City Agency.   Don't be shy to ask for the contact's name.  Note the time and date of each contact.
Sign in to Google to save your progress. Learn more
First Name *
Enter the tenant's first name.
Last Name *
Enter the tenant's last name.
Building Address *
Enter the building address (not the apartment #)
Apartment # *
Enter the apartment #
E-mail Address *
Enter the e-mail address if available
Phone number *
Enter best contact phone number
Have you measured the temperature in each room? *
Was the inside temperature recorded in any of the rooms below 68 degrees (Day) or 55 degrees (night)?
Day is from 6am - 10 pm and Night is from 10pm - 6am.
Clear selection
What was the inside temperature you recorded?
Room or Rooms below minimum temperature?
Check all rooms where you measured this temperature
What was the time of day you took the inside temperature?
To help determine Day or Night required temperature.
Have you called and reported it to Management? *
Have you had to call more management than once for this incident? *
Did Management respond to this incident?
Clear selection
Date and time of last report of this Incident to Management?
Did you call 311? *
What is your 311 Reference number?
Enter any additional comments that might help us understand your situation.
Enter the Initials of the Msg Center Volunteer Making a Manual Entry:
(For Tenant Association Use Only)
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy