请在浏览器中启用JavaScript来完成此表单。请在浏览器中启用JavaScript来完成此表单。 申请人姓名(必须与证明文件一致) *联系电话 *United States +1United States+1United Kingdom+44Afghanistan+93Albania+355Algeria+213American Samoa+1Andorra+376Angola+244Anguilla+1Antigua & Barbuda+1Argentina+54Armenia+374Aruba+297Ascension Island+247Australia+61Austria+43Azerbaijan+994Bahamas+1Bahrain+973Bangladesh+880Barbados+1Belarus+375Belgium+32Belize+501Benin+229Bermuda+1Bhutan+975Bolivia+591Bosnia & Herzegovina+387Botswana+267Brazil+55British Indian Ocean Territory+246British Virgin Islands+1Brunei+673Bulgaria+359Burkina Faso+226Burundi+257Cambodia+855Cameroon+237Canada+1Cape Verde+238Caribbean Netherlands+599Cayman Islands+1Central African Republic+236Chad+235Chile+56China+86Christmas Island+61Cocos (Keeling) Islands+61Colombia+57Comoros+269Congo - Brazzaville+242Congo - Kinshasa+243Cook Islands+682Costa Rica+506Croatia+385Cuba+53Curaçao+599Cyprus+357Czechia+420Côte d’Ivoire+225Denmark+45Djibouti+253Dominica+1Dominican Republic+1Ecuador+593Egypt+20El Salvador+503Equatorial Guinea+240Eritrea+291Estonia+372Eswatini+268Ethiopia+251Falkland Islands+500Faroe Islands+298Fiji+679Finland+358France+33French Guiana+594French Polynesia+689Gabon+241Gambia+220Georgia+995Germany+49Ghana+233Gibraltar+350Greece+30Greenland+299Grenada+1Guadeloupe+590Guam+1Guatemala+502Guernsey+44Guinea+224Guinea-Bissau+245Guyana+592Haiti+509Honduras+504Hong Kong SAR China+852Hungary+36Iceland+354India+91Indonesia+62Iran+98Iraq+964Ireland+353Isle of Man+44Israel+972Italy+39Jamaica+1Japan+81Jersey+44Jordan+962Kazakhstan+7Kenya+254Kiribati+686Kosovo+383Kuwait+965Kyrgyzstan+996Laos+856Latvia+371Lebanon+961Lesotho+266Liberia+231Libya+218Liechtenstein+423Lithuania+370Luxembourg+352Macao SAR China+853Madagascar+261Malawi+265Malaysia+60Maldives+960Mali+223Malta+356Marshall Islands+692Martinique+596Mauritania+222Mauritius+230Mayotte+262Mexico+52Micronesia+691Moldova+373Monaco+377Mongolia+976Montenegro+382Montserrat+1Morocco+212Mozambique+258Myanmar (Burma)+95Namibia+264Nauru+674Nepal+977Netherlands+31New Caledonia+687New Zealand+64Nicaragua+505Niger+227Nigeria+234Niue+683Norfolk Island+672North Korea+850North Macedonia+389Northern Mariana Islands+1Norway+47Oman+968Pakistan+92Palau+680Palestinian Territories+970Panama+507Papua New Guinea+675Paraguay+595Peru+51Philippines+63Poland+48Portugal+351Puerto Rico+1Qatar+974Romania+40Russia+7Rwanda+250Réunion+262Samoa+685San Marino+378Saudi Arabia+966Senegal+221Serbia+381Seychelles+248Sierra Leone+232Singapore+65Sint Maarten+1Slovakia+421Slovenia+386Solomon Islands+677Somalia+252South Africa+27South Korea+82South Sudan+211Spain+34Sri Lanka+94St. Barthélemy+590St. Helena+290St. Kitts & Nevis+1St. Lucia+1St. Martin+590St. Pierre & Miquelon+508St. Vincent & Grenadines+1Sudan+249Suriname+597Svalbard & Jan Mayen+47Sweden+46Switzerland+41Syria+963São Tomé & Príncipe+239Taiwan+886Tajikistan+992Tanzania+255Thailand+66Timor-Leste+670Togo+228Tokelau+690Tonga+676Trinidad & Tobago+1Tunisia+216Turkey+90Turkmenistan+993Turks & Caicos Islands+1Tuvalu+688U.S. Virgin Islands+1Uganda+256Ukraine+380United Arab Emirates+971United Kingdom+44United States+1Uruguay+598Uzbekistan+998Vanuatu+678Vatican City+39Venezuela+58Vietnam+84Wallis & Futuna+681Western Sahara+212Yemen+967Zambia+260Zimbabwe+263Åland Islands+358地址Address Line 1Address Line 2市--- Select state ---亚拉巴马州阿拉斯加州亚利桑那州阿肯色州加利福尼亚科罗拉多州康乃狄克州特拉华州哥伦比亚特区佛罗里达格鲁吉亚夏威夷州爱达荷伊利诺斯州印第安纳州爱荷华州堪萨斯州肯塔基州美国路易斯安那州曼恩河马里兰马萨诸塞州密歇根州明尼苏达州密西西比州密苏里蒙塔纳州内布拉斯加州内布拉斯加州新汉普郡新泽西新墨西哥纽约北卡罗莱纳州北达科他州俄亥俄州俄克拉荷马州俄勒冈州宾夕法尼亚州罗德岛州南卡罗来纳州南达科他州田纳西州德克萨斯州犹他州佛蒙特州弗吉尼亚华盛顿州西维吉尼亚州威斯康辛州怀俄明州StateEmail *所属地区纽约市(五大区)长岛(需为低收入家庭)其他是否为低收入家庭是否纽约市居民:是否已准备好拆除现有暖气炉?*是否不适用(我住在长岛)您希望申请:免费空调免费烘干机两者都申请 地址 报税单 税单(三选一)* 电费单(Electric Bill)* Click or drag a file to this area to upload. 必备文件上传(请确保文件清晰完整,格式:PDF/JPG/PNG) 文件姓名必须一致,否则需上传租房合同作为补充证明。煤气单(Gas Bill)* Click or drag a file to this area to upload. 必备文件上传(请确保文件清晰完整,格式:PDF/JPG/PNG)2023 & 2024 报税单 (请记得遮住社安号,保护个人信息) Click or drag files to this area to upload. You can upload up to 2 files. 2023 & 2024 报税单(1040表格第11项) (仅长岛低收入申请人需提供) 请确保文件清晰完整,格式:PDF/JPG/PNG)SNAP 资助信 / 公共援助证明 / 税单(三选一)* Click or drag a file to this area to upload. 请确保文件清晰完整,格式:PDF/JPG/PNG)暖气炉照片(仅纽约市居民)* Click or drag files to this area to upload. You can upload up to 3 files. 烘干机申请需要提供的相关图片 * Click or drag files to this area to upload. You can upload up to 4 files. 1)工地设备照片 (需清晰展示设备情况) 2)客户现有烘干机照片 (如果没有现有烘干机,则提供安装位置的照片) 3)现有电箱照片 (确保能够清楚显示电箱的当前状态) 请确保所有提交的文件和图片清晰、完整,并符合 AUP Program 的要求,以避免申请被拒绝或延迟。Submit