PHA Complaint Form 2025

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  1. Click ‘Get Form’ to open the PHA Complaint Form in our editor.
  2. Begin by filling out Section A, which includes your personal information such as First Name, Last Name, Address, and contact details. Ensure all fields are completed accurately for effective communication.
  3. If you are filing on behalf of someone else, complete Section B with their details. This includes their First Name, Last Name, and Birth Date.
  4. In Section C, provide the name or description of the individual(s) against whom you are complaining. Include any relevant identifiers like Team Number or Division.
  5. Section D requires you to detail the Date(s) and Location of the incident(s). Be specific about where it occurred to assist in the investigation.
  6. Use Section E to provide a descriptive summary of the incident(s). If more space is needed, feel free to use the back of the form.
  7. Finally, in Section F, list any witnesses along with their contact information. This will help substantiate your complaint.
  8. Don’t forget to sign and date the form at the bottom before submitting it.

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The Complainant must show that there was an adverse action taken against them, such as a refusal to rent or sell housing, differential treatment, differing terms and conditions, harassment, or retaliation.
Fair Housing complaints may be filed online or by e-mail, mail, or phone via the housing discrimination complaint hotline at 1-800-669-9777. See the Fair Housing page on HUDs website for additional information.
The specific facts and any records about the incident(s), including the name and contact information of the person or entity you believe harmed you (if known); Copies of any documents or other evidence related to your complaint; and. The names and contact information of any witnesses (if known)