Report Source of Income Discrimination
Email address *
About the Complainant
The person who owns the voucher and is reporting discrimination is considered the complainant. We need to learn more about you.
What is your name? *
Your answer
What is your phone number? *
Your answer
What type of voucher do you have?
What is the maximum rent your voucher will pay? *
Your answer
Do you have a contribution to the rent? *
If yes, how much is your contribution?
Your answer
Who will live in this apartment with you? *
Your answer
Please check all that apply
What is your credit?
Your answer
Have you ever been to housing court for an eviction?
If yes, please provide a brief description of what happened.
Your answer
Are you reporting with an advocate? *
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