LIHP Document Transmittal Form

LIHP Document Transmittal Form

Use this document transmittal to upload required documents.

ONLY .PDF format documents will be accepted!
NOTE: - This form is not an application!

***DO NOT USE THIS FORM FOR DOCUMENTS BEING UPLOADED FOR TOWN OF BROOKHAVEN DOWN PAYMENT ASSISTANCE PROGRAM!! Refer to website for Town of Brookhaven Down Payment Assistance Program specific Transmittal form.

***DO NOT USE THIS FORM FOR DOCUMENTS BEING UPLOADED FOR TOWN OF BABYLON DOWN PAYMENT ASSISTANCE PROGRAM!! Refer to website for Town of Babylon Down Payment Assistance Program specific Transmittal form.

***DO NOT USE THIS FORM FOR DOCUMENTS BEING UPLOADED FOR COUNSELING!! Refer to website for Pre-Purchase Document Transmittal or Default Prevention Document Transmittal.

***DO NOT USE THIS FORM FOR DOCUMENTS BEING UPLOADED FOR BROOKHAVEN RENTAL ARREARS!! Refer to website for Brookhaven Rental Arrears Document Transmittal.

First Name

Last Name

Street Address

City

State

Zip Code

Home Phone

Cell Phone:

Work Phone

Select the LIHP staff person to receive these documents from listing below. Choose only one selection.
NOTE: If documents are for Community Stabilization, Nassau Down Payment Assistance programs or the Community Land Trust program, please choose that program as option to receive these documents.

When selecting the LIHP staff person or program to receive these documents below

DO NOT JUST SELECT ANY NAME ON LIST!!

IF YOU ARE NOT SURE WHICH STAFF PERSON OR PROGRAM TO SELECT BELOW, PLEASE CALL (631)435-4710 TO INQUIRE FOR CORRECT ROUTING.

Select ONLY ONE LIHP staff person or program to receive these documents below
BE CAREFUL WHEN SELECTING WHO TO SEND THE DOCUMENTS TO!
IF YOU SEND TO THE WRONG STAFF PERSON, THEY WILL BE DELETED FOR SECURITY REASONS!

Scroll down to select correct LIHP Staff person or program to receive documents.

Email to:

Program / Reason for uploading documents:

Rental Programs:

Homeownership Programs:

Community Stabilization Program (CSP):

Comments:

Upload your documents below. You may upload multiple documents by clicking on "Add another document" on the right side of page each time you wish to upload another document.

ONLY .PDF format documents will be accepted!

Upload Document(s):

Click on "Add another document" on right side to upload additional documents. You are not limited to how many documents you can upload.

Contact Information