Request for Assistance Form

Download the Printable Request for Assistance Form

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If the request for assistance involves a City of New York agency, please obtain a 311 service number before filing a complaint with Bronx CB10 and provide the 311 # below. Include as much detail as possible (e.g. for street problems, indicate EXACT location; if this is a noise complaint note the time(s) of day, etc.) and indicate if other agencies have been contacted about the complaint. Photos and supporting documents should be included whenever possible.