Resolutions Northwest Landlord-Tenant Mediation Program Intake Form (Tenant)

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Thank you for contacting Resolutions Northwest Landlord-Tenant Mediation Program. The information you submit will be kept fully confidential, does not affect the service you will receive from our organization, and will allow our program to continue being funded. We are not attorneys or advocates, but our goal is to help party's reach a resolution through mediation and dialogue. Please expect a 3 to 5 business day response once you complete this form.

This form is for residents in the City of Portland. If you are outside of the area, please call our office 503.595.4890, and leave a clear message with your name and number, email and location to info@resolutionsnorthwest.org.

First Name *

Last Name *

Preferred name

Pronouns

Phone Number *

Email Address *

Please provide a one to two sentence explanation of the situation with your landlord or property manager. *

Best days and/or times to contact you:

8am to 11am

11am to 2pm

2pm to 5pm

N/A

Monday

Tuesday

Wednesday

Thursday

Friday

If you need after hours or weekends (though not guaranteed), let us know and we may be able to accommodate:

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