Mail a copy of this form to:
Irma Shore, Park West Finance Station, PO Box 20608, NY, NY 10025.
If you have any questions: email@example.com or 212-663-6011.
For additional complaints concerning access issues in public accommodations or housing, please call or email The Commission on Human Rights: 212-306-7330 or firstname.lastname@example.org or 212-306-7450 or TTY: 212-306-7589 or 212-306-7686.
Check if you wish all information kept confidential.