Sea Cliff, NY · Nassau County

No notary required

Residential Rehabilitation Program Application

Sea Cliff households use this application to provide household and income details and request repairs or upgrades through the Residential Rehabilitation Program.

What this form is

This application collects contact information, household composition, income, and requested home repairs or upgrades to help determine initial eligibility for Sea Cliff’s Residential Rehabilitation Program. The form says eligible households may be placed on a wait list, but placement does not guarantee renovations; Nassau County determines final eligibility and the work performed, and may require additional information before approving work.

Who needs it

Households interested in the Residential Rehabilitation Program should complete this application to provide information for initial eligibility review.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This application is signed and dated without a notary; it asks applicants to certify their information and identifies no notarized attachment or sworn step.

How to submit this form

  1. 1

    Download The Application

    Download the Residential Rehabilitation Program Application PDF.

  2. 2

    Complete The Application

    Fill in contact, household, and income information, describe the requested repairs or upgrades, and sign and date the certification.

  3. 3

    Submit To The City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What does the Residential Rehabilitation Program Application ask for?
It requests contact details, household members’ income information, household size, and a description of the repairs or upgrades requested.
Does completing the application guarantee home renovations?
No. The form says wait-list placement does not guarantee renovations. Nassau County determines final eligibility and the work to be performed.
Do I need a notary for the Residential Rehabilitation Program Application?
No. Applicants sign and date the certification without a notary; the form identifies no notarized attachment or sworn step.
How do I submit the Residential Rehabilitation Program Application?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Residential Rehabilitation Program Application doesn’t need a notary — but if you have another Sea Cliff form that does, a commissioned online notary can help.