File a Complaint

Report of Housing Discrimination

Please provide the following information. You may also fax, mail, or email this form or contact us by telephone.

File a Complaint Heading link

Personal Information
Name * Required
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone
Email * Required
Attorney Information
Have you worked with an attorney before regarding this matter?
- Yes
- No
Attorney Name
First Last
Attorney Phone
Nature of your complaint: * Required