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Online Submission - Grievance

  1. Submitting Your Grievance Complaint Form (RP-524)

    BEFORE you fill out Grievance Complaint Form (RP-524) form, it must first be SAVED to your computer, then opened in Adobe Acrobat Reader and completed in that program. If you attempt to fill out the form in your internet browser, your information WILL BE LOST. NOTE: This form is not compatible with Firefox. Please use Microsoft Edge or Google Chrome.

    Step 1: DOWNLOAD and SAVE the Grievance Complaint Form (RP-524) to your computer.

    Step 2: Download Grievance Online Instructions.

    Step 3: Fill-out and SIGN your Grievance Complaint Form (RP-524)

    Step 4: RE-SAVE the completed Grievance Complaint Form (RP-524)to your computer.

    Step 5: Upload your Grievance Complaint Form (RP-524) supporting documents in the required fields below.

    Step 6: Complete all required fields and submit information below.


    Limited staffing and assistance with technical difficulties due to the reduced staffing order of the COVID-19 Pandemic.

    If you are having trouble filling out and signing your electronic grievance complaint form. You may file by mail, grievance form must be received by May 18 (not postmarked)

    • In person: Town Hall - Drop off application at Town Hall lobby from 9:00 a.m. to 4:00 p.m.
    • In person: May 18th, St. Rosalie’s 31 East Montauk Hwy., Hampton Bays, NY 11946 o Hours: 9:00am to 12:00pm 2:00pm to 4:00pm 6:00pm to 8:00pm
    • Mail: Southampton Town Attn: Assessor’s Office 116 Hampton Road, Southampton NY 11968
    • Facsimiles will not not accepted.

      Please note: You do not have to appear in person to file your Grievance Complaint, as all grievances received will be reviewed in detail by the Board of Assessment Review.


  2. $000,000.00 (Owners fair assessment value request)

  3. Submitting as a*

  4. Please Note:

    Please make sure that your file name does not contain any special characters or spaces: accents, tildes, symbols, etc. (e.g., è, é, ñ, &, *, #).

  5. Grievance Complaint Form (RP-524) MUST BE SIGNED

  6. Recommended

  7. Instructions

    You are strongly encouraged to review the current Tentative Assessment Roll (as of May 1st) to obtain the latest updated assessment information. Board of Assessment Review make their determination public by letter /email on or before July 1, 2021. If you do not receive your Determination Notice by July 15, 2021 please contact our office. Failure to receive proper notice does not relieve you of the 2021/2022 assessment.

  8. Leave This Blank:

  9. This field is not part of the form submission.