Help us cover evictions in New York City
We will not publish any information we collect about you without your permission. We do ask for contact information so we can follow up. If you have any questions, email coronavirus@thecity.nyc or call, text, WhatsApp, or Signal 718-866-8674

NOTE: If you're viewing on mobile, go here: https://forms.gle/QVDagu96HREFkpdy6
What is your email? *
You are a: *
Next
Never submit passwords through Google Forms.
GoogleForms
This form was created inside of City Report, Inc d/b/a THE CITY.