Apply to Address Confidentiality Program


  • 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.

Apply online

PDF Applications and Translations

Completed forms may either be mailed or faxed.

Change/Withdraw Application

This application should be used to make changes to application information submitted by the program:

change/withdrawal notice

Additional Materials

Contact Address Confidentiality Program

Contact us by phone:

Phone:  (518) 474-7306
Toll-Free:  (855) 350-4595

Contact us by email:

Mailing Address:

Address Confidentiality Program
P.O. Box 1110
Albany, NY 12201-1110

Contact us by fax:

(518) 474-0709