Apartment Access Authorization Form

Members of the building staff are required to refuse entry to any non-occupants of an apartment unless the shareholder is home and has agreed to entry by intercom confirmation. Pursuant to the proprietary lease, occupancy of an apartment by other than an immediate family member while the shareholder is away is not allowed.

This Apartment Access Authorization is required in the following situation:

1. Anytime a shareholder will not be present when a guest arrives.

2. When a shareholder will be away and a family member or friend will be using the apartment.

3. When a shareholder has guests who could be entering and leaving the building unaccompanied by the shareholder. This applies to situations where the shareholders are not away (may be at work or out) and would like their guests to have freedom of access.

4. When a domestic employee needs access in the absence of the shareholder . Please be aware that permitting access to employees is at the risk of the shareholder.

5. When a vistor will not stay overnight, but simply arrives to do some chore(s) while the shareholder is away (feed a pet, water plants, clean up, etc.)

6. This form must be submitted prior to guests arriving. The doormen and superintendent are not authorized to accept this form.

7. All requests for apartment access will be given careful consideration. However, should the information contain errors or the proposed arrangement is an illegal sublet, then that person will be refused entrance to the building.

8. Any expenses, fees, and offenses by the guests will be the responsibility of the shareholder.

The following information is required to ensure access to your apartment for your guests.
Please make sure each line is completed.

Your name: Apartment number:
Email address:

Name, home address, phone number and relationship of person(s) needing access:

Will you be home during their visit?     Yes   No      

Will you be home upon their arrival?     Yes   No      

Dates of authorized access   From [mm/dd/yy]: until [mm/dd/yy]:

Will access be     Continuous (every day)   Intermittent      

If intermittent, list specific dates below: (Please specify):

Phone numbers where you can be reached:  

Name + phone of other contact in case of emergency:  

I HEREBY CERTIFY THAT I AM NOT RECEIVING ANY PAYMENT
OR CONSIDERATION FROM THIS GUEST.