Eligibility
- Victims of domestic violence who have moved or are planning to move to a new location for safety reasons
- Anyone living in the same household as the victim may also be eligible, such as children, parents or siblings
- Participation is limited to New York State residents
Apply Online
You may apply online or by completing a pdf application. Completed applications may either be mailed or faxed. Filing instructions are on the form.
* This online portal is to be used only for new applications. Do not use for renewals or changes to an existing record
PDF Applications and Translations
Completed forms may either be mailed or faxed.
Address Confidentiality Program Application
Address Confidentiality Program Application (Spanish/Español)
Traducción al español (Spanish)
Address Confidentiality Program Application (Haitian-Creole/Kreyòl Ayisyen)
Tradiksyon kreyòl ayisyen (Haitian Creole)
Address Confidentiality Program Application (Chinese/中文)
中文翻譯 (Chinese)
Address Confidentiality Program Application (Korean/한국어)
한국어 번역 (Korean)
Address Confidentiality Program Application (Russian/Pусский)
Перевод на русский язык (Russian)
Address Confidentiality Program Application (Bengali/বাঙালি)
Bengali/বাঙালি
Change/Withdraw Application
This application should be used to make changes to application information submitted by the program:
Additional Materials
Address Confidentiality Program Brochure
The New York State Address Confidentiality Program (ACP) can help you maintain the secrecy of your home, school, and work address.
Address Confidentiality Program Brochure (Spanish/Español)
Traducción al español (Spanish)
Contact Address Confidentiality Program
Contact Us:
Phone: (518) 474-7306
Toll-Free: (855) 350-4595
Fax: (518) 474-0709
Email: ACP@dos.ny.gov
Mailing Address:
Address Confidentiality Program
P.O. Box 1110
Albany, NY 12201-1110