N.Y. Comp. Codes R. & Regs. tit. 16, Appendices, app A-5
(cf. § 11.7[g])
IMPORTANT NOTICE
TO TENANTS OF
THIS BUILDING
______________________
(Day of Week & Date)
The ________ (UTILITY) INTENDS TO SHUT OFF THE (ELECTRICITY/GAS) TO THIS BUILDING TEN DAYS FROM THE DATE OF THIS NOTICE BECAUSE THE LANDLORD HAS NOT PAID HIS BILL.
IF SERVICE IS SHUT OFF, THIS BUILDING WILL NOT BE HEATED.
IF YOU OR ANOTHER PERSON WHO LIVES HERE IS VERY SICK OR HAS ANOTHER SERIOUS HEALTH PROBLEM, CALL ________ (UTILITY) AT ________ (TEL. NO.) AND REPORT THE CONDITION. GAS OR ELECTRICITY WILL NOT BE SHUT OFF DURING THE COLD WEATHER PERIOD (NOVEMBER 1 - APRIL 15) IF YOU OR ANOTHER RESIDENT IS VERY ILL OR WILL HAVE A SERIOUS HEALTH PROBLEM IF THERE IS NO HEAT. A UTILITY EMPLOYEE WILL VISIT TO VERIFY THE CONDITION, AND A DEPARTMENT OF SOCIAL SERVICES CASE WORKER MAY ALSO VISIT. IF YOU HAVE ANY QUESTION REGARDING THEIR FINDINGS, YOU CAN ASK THE PUBLIC SERVICE COMMISSION FOR HELP BY CALLING 1-800-342-3377.
N.Y. Comp. Codes R. & Regs. tit. 16, Appendices, app A-5