N.Y. Comp. Codes R. & Regs. tit. 9, § 2209.10
(b) No printed form of application is provided or prescribed. Each application must be clearly designated “Application to the Division of Housing and Community Renewal pursuant to section Y51-12.0 of the Rent Law,” and shall set forth the following:
(2) a simple and concise statement showing the nature of the interest of the applicant in the outcome of the proceeding;
(3)
(4) a specific statement of the relief requested.
The application shall be verified by the party filing the application.
(a)