Inclusionary Housing Compliance File Re-examination Request
Please complete this form if you have been found ineligible to lease or own a BPDA Income Restricted unit and would like your application to be re-examined.  

Applications will only be re-examined if requests are made within 10 business days of the date on your ineligibility letter.  

If you are unable to complete this form please call 617-918-4306 for assistance.  

Calls must be received within 10 business days of the date on your ineligibility letter.
Sign in to Google to save your progress. Learn more
Full Name *
Current Mailing Address *
Email Address *
Telephone Number
BPDA Income Restricted Unit Address *
Please provide the full address to the BPDA unit you were found ineligible to lease or own.
Is this your first attempt to sign a lease for this unit, or were you found to be ineligible to renew your lease?
Date of Ineligibility Letter *
The date of the ineligibility letter can be found on the upper right-hand corner.  Please note: that all requests for re-examination must be made within 10 calendar days of the data on the ineligibility letter.
MM
/
DD
/
YYYY
Reason for re-examination request *
Please provide a short description of the reason why you are requesting that your application be re-examined.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of City of Boston. Report Abuse
Google Forms