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Street Address: C. City/State/Zip Code: D. Mobile Telephone # (Required): E. E-mail Address: fill out both forms 059.109 and 059.109A only if you are requesting a reasonable accommodation. G. Please If you are requesting to move for any reason due to a disability (to obtain a larger unit size, lower floor or elevator building), please call the Customer Contact Center for a Transfer Request Form at (718) 707-7771. H. New York City Housing Authority will provide a reasonable accommodati.

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