N.Y. Comp. Codes R. & Regs. tit. 9, § 2108.5 – Form and content of protest against an order of the local rent administrator.

L. 1964, ch. 244
No printed form of protest is provided or prescribed. Each protest must be clearly designated “Protest to the Commissioner of Housing and Community Renewal re Order bearing docket number. . . . ”, and shall set forth the following:
(a) the name and post-office address of the party filing the protest, and whether he is the landlord or tenant of the accommodations involved or a representative;
(b) a complete identification of the order to which objection is made, the date of issuance thereof, the docket number, and the name of the local rent office;
(c) the location by post-office address of all housing accommodations involved in the protest;
(d) the names and post-office addresses of all other parties affected by the protest;
(e) a simple, concise statement of the objections to the order protested;
(f) a specific statement of the relief requested;
(g) a statement informing the person served with the protest that he may within 15 days from the date of such service, file thereto a verified answer by filing the same with the Commissioner of Housing and Community Renewal, Office of Rent Administration, 393 Seventh Avenue, New York 1, NY, together with proof of service of the copy of the answer upon the party filing the protest;
(h) each protest shall be verified by the party filing the protest;
(i) each such protest shall contain proof of service of (1) a copy of the protest and (2) copies of all accompanying papers upon the local rent administrator and upon all parties affected by the protest.