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Completion is voluntary, and individuals may skip any question by leaving it blank. Landlords with 25 or more units must file a confidential annual report, while housing providers may not discriminate, ask extra questions, harass, intimidate, retaliate, require completion, or access units without permission. 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The New Jersey Division on Civil Rights (DCR) is the government agency that enforces the LAD. DCR requires landlords who own 25 or more rental units to file a confidential annual report with the agency regarding their applicantsand tenants. DCR requires landlords to provide this survey form to all applicants and tenants to collect the information for their reports.  \nFilling out this form helps DCR learn about and fight housing discrimination.  \nCompletion of this form is voluntary. If you do not wish to answer a question, you can skip it and leave it blank. Tenants and applicants who choose to complete the form should answer the questions for each child and adult living in their unit and return the completed form to their landlord. If you choose not to complete this form, the landlord will complete it for you to the best of their knowledge.  \nLandlords cannot ask you about other characteristics like your religion, national origin (what country you’re from), nationality (whether you’re a citizen), disability, whether you’re married, or whether you identify as LGBTQIA+ . Landlords also cannot decide whether or not to rent to you based on your responses to this form.  \nHousing providers cannot:  \n• Discriminate against you based on your responses to this form;  \n• Ask additional questions about your responses to this form:  \n• Harass or intimidate you based on your responses to this form;  \n• Retaliate against you based on your responses to this form, including by raising your rent;  \n• Require you to complete this form; or  \n• Enter your rental unit without permission or investigate you to collect the information requested by this form.  \nIf you feel you have been denied housing or treated differently for one of the reasons listed  \nabove, [you may file a complaint at](you may file a complaint at bias.njcivilrights.gov. For additional)[ ](you may file a complaint at bias.njcivilrights.gov. For additional)[bias.njcivilrights.gov](you may file a complaint at bias.njcivilrights.gov. For additional)[. For additional](you may file a complaint at bias.njcivilrights.gov. For additional) assistance, e-mail DCR  \nat [NJDCR4U@njcivilrights.gov](NJDCR4U@njcivilrights.gov) or call 1-833-653-2748.  \nVisit our website at [www.NJCivilRights.gov](www.NJCivilRights.gov) to learn more about the LAD.  \nPlease complete the form on the next page and return it to the landlord.  \nUpdated 2026 MDRR Tenant/Applicant Inquiry Form  \nNEW JERSEY DIVISION ON CIVIL RIGHTS RENTAL SURVEY  \nThis form is not intended to be a part of the rental application process and must be kept separate and apart from rental records.  \nAre you a: □ Current Tenant □ Applicant | Name:  Unit/Complex Address:   \n1. Race/Ethnicity  \nPlease write how many people living in your unit identify their race/ethnicity as:  \nAmerican Indian or Alaska Native:  (Individuals with origins in any of the original peoples of North, Central, and South America, including, for example, Navajo Nation, Blackfeet Tribe of the Blackfeet Indian Reservation of Montana, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, Aztec, and Maya.) Asian:    \n(Individuals with origins in any of the original peoples of Central or East Asia, Southeast Asia, or South Asia, including, for example, Chinese, Asian Indian, Filipino, Vietnamese, Korean, and Japanese.)  \nBlack or African American:  (Individuals with origins in any of the original peoples of Africa including, for example, African American, Jamaican, Haitian, Nigerian, Ethiopian, and Somali.)  \nHispanic or Latino/a/x/e:    \n(Includes individuals of Me","cbCaiidSNklOumfO","https://ap.wps.com/l/cbCaiidSNklOumfO","pdf",196831,"English","# New Jersey Division on Civil Rights Rental Survey\n## Purpose and Voluntary Completion\n## Prohibited Practices\n## Tenant/Applicant Information Collection\n### Race/Ethnicity\n### Gender\n### Familial Status\n### Rental Assistance","[{\"question\":\"Is completing the rental survey mandatory, and what if someone skips a question?\",\"answer\":\"Completion is voluntary. If you do not wish to answer a question, you can skip it and leave it blank.\"},{\"question\":\"What information does the survey collect from tenants and applicants?\",\"answer\":\"It collects race/ethnicity counts, gender counts, whether there are children under 18 or anyone pregnant, and how many people receive rental assistance (or zero if none).\"},{\"question\":\"What actions are landlords prohibited from doing related to responses to this form?\",\"answer\":\"Landlords cannot discriminate, ask additional questions about responses, harass or intimidate, retaliate (including raising rent), require completion, or enter units without permission to investigate the information requested.\"}]","NEW JERSEY DIVISION ON CIVIL RIGHTS - Rental Survey - Tenant/Applicant Inquiry Form | PDF",1789834827]