Are you looking for a better way to handle complaints and feedback from customers? The online complaint hud form is an effective tool that offers convenience and accessibility in collecting customer feedback. This blog post will provide further information on how the form can help simplify many customer service processes, as well as outline its benefits, features, and rewards. With comprehensive data insights provided by this integral solution, companies and businesses of all sizes can easily observe patterns within their customer feedback to improve overall efficiency in any customer relations strategy.
| Question | Answer |
|---|---|
| Form Name | Online Complaint Hud Form |
| Form Length | 6 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 1 min 30 sec |
| Other names | fair housing complaint form pdf, hud 903 complaint form pdf, hud 903 1, hud form 903 |
OMB Approval No.
U.S. Department of Housing and Urban Development
Office of Fair Housing andEqual Opportunity
AreyouofaVictim
Housing
Discrimination?
Fair Housing is Your Right!
If you have been denied your housing rights ... you may have experienced housing discrimination.
form
How do you recognize Housing Discrimination?
Under the Fair Housing Act, It is Against the Law to:
•Refuse to rent to you or sell you housing
•Tell you housing is unavailable when in fact it is available
•Show you apartments or homes in certain neighborhoods only
•Advertise housing to preferred groups of people only
•Refuse to provide you with information regarding mortgage loans, deny you a mortgage loan, or impose different terms or conditions on a mortgage loan
•Deny you property insurance
•Conduct property appraisals in a discriminatory manner
•Refuse to make certain modifications or accommodations for persons with a mental or physical disability, including persons recovering from alcohol and substance abuse, and
•Fail to design and construct housing in an accessible manner
•Harass, coerce, intimidate, or interfere with anyone exercising or assisting someone else with their fair housing rights
Based on these factors...
•Race
•Color
•National origin
•Religion
•Sex
•Familial status (families with children under the age of 18, or who are expecting a child), or
•Handicap (if you or someone close to you has a disability)
If you don't report discrimination, it can't be stopped!
Housing Discrimination Information Form
•If you believe your rights have been violated, HUD or a State or local fair housing agency is ready to help you file a complaint.
•You have one year from the date of the alleged act of discrimination to file your complaint.
•After your information is received, we will contact you to discuss the concerns you raise.
Instructions: (Please type or print.) Read this form carefully. Try to answer all questions. If you do not know the answer or a question does not apply to you, leave the space blank. You have one year from the date of the alleged discrimination to file a complaint. Your form should be signed and dated. Use reverse side of this page if you need more space to respond.
Keep this information for your records.
Date you mailed your information to HUD:
Address to which you sent the information:
Street:
City: |
State: |
Zip Code: |
If you have not heard from HUD or a fair housing agency within three weeks from the date you mail this form, you may call to inquire about the status of your complaint. See addresses and telephone listings on the last page.
Your Name: |
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Best time |
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Your Daytime Phone No: |
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Your Address: |
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Evening Phone No: |
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City: |
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State: |
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Zip Code: |
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Who else can we call if we cannot reach you?
1 Contact's Name: |
Daytime Phone No: |
Best time to call:
Evening Phone No:
2Contact's Name:
Daytime Phone No:
Best time to call:
Evening Phone No:
1.What happened to you? How were you discriminated against? For example: were you refused an opportunity to rent or buy housing? Denied a loan? Told that housing was not available when in fact it was? Treated differently from others seeking housing? State briefly what happened.
2.Why do you believe you are being discriminated against?
It is a violation of the law to deny you your housing rights for any of the following factors:
• race • color • religion • sex • national origin • familial status (families with children under 18) • disability.
For example: were you denied housing because of your race? Were you denied a mortgage loan because of your religion? Or turned down for an apartment because you have children? Were you harassed because you assisted someone in obtaining their fair housing rights? Briefly explain why you think your housing rights were denied because of any the factors listed above.
3.Who do you believe discriminated against you? Was it a landlord, owner, bank, real estate agent, broker, company, or organization?
Name:
Address:
4.Where did the alleged act of discrimination occur? Provide the address. For example: Was it at a rental unit? Single family home? Public or Assisted Housing? A Mobile
Home? Did it occur at a bank or other lending institution?
Address:
City: |
State: |
Zip Code: |
5.When did the last act of discrimination occur? Enter the date _____/_____/_____
Is the alleged discrimination continuous or on going?
Yes |
No |
Signature:
Date:
X
Send this form to HUD or to the fair housing agency where the alleged act of discrimi- nation occurred.
If you are unable to complete this form, you may call the office nearest you. See addresses and telephone numbers listed on the back page.
Privacy Act Statement The Department of Housing and Urban Development is authorized to collect this information by Title VIII of the Civil Rights Act of 1968, as amended by the Fair Housing Amendments Act of 1988, (P.L.
The information will be used to investigate and to process housing discrimination complaints. The information may be disclosed to the United States Department of Justice for its use in the filing of pattern and practice suits of housing discrimination or the prosecution of the person(s) who committed the discrimination where violence is involved; and to State or local fair housing agencies that administer substantially equivalent fair housing laws for complaint processing. Failure to provide some or all of the requested information will result in delay or denial of HUD assistance.
Public Reporting Burden for this collection of information is estimated to average 20 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
Disclosure of this information is voluntary.
For Connecticut, Maine, |
For Illinois, Indiana, Michigan, |
For Colorado, Montana, North |
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Massachusetts, New |
Minnesota, Ohio, and |
Dakota, South Dakota, Utah, |
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Hampshire, Rhode Island, and |
Wisconsin: |
and Wyoming: |
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Vermont: |
Fair Housing Enforcement Center |
Fair Housing Enforcement |
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Fair Housing Enforcement Center |
U.S. Department HUD |
Center |
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U.S. Department HUD |
Ralph H. Metcalfe Federal Bldg. |
U.S. Department HUD |
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10 Causeway Street, Room 321 |
77 West Jackson Boulevard, |
633 17th Street |
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Boston, MA |
Room 2101 |
Denver, CO |
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(617) |
Chicago, IL |
(303) |
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(312) |
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TTY (617) |
TTY (303) |
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For New Jersey and New York: |
TTY (312) |
For Arizona, California, |
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Fair Housing Enforcement Center |
For Arkansas, Louisiana, New |
Hawaii, and Nevada: |
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U.S. Department HUD |
Mexico, Oklahoma, and Texas: |
Fair Housing Enforcement Center |
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26 Federal Plaza, Room 3532 |
Fair Housing Enforcement Center |
U.S. Department HUD |
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New York, NY |
U.S. Department HUD |
Phillip Burton Federal Building |
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(212) |
1600 Throckmorton, Room 502 |
and U.S. Courthouse |
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Forth Worth, TX |
450 Golden Gate Avenue |
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TTY (212) |
(817) |
San Francisco, CA |
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For Delaware, District of |
(415) |
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TTY (817) |
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Columbia, Maryland, |
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TTY (415) |
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Pennsylvania, Virginia, and |
For Iowa, Kansas, Missouri |
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West Virginia: |
and Nebraska: |
For Alaska, Idaho, Oregon, |
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Fair Housing Enforcement Center |
Fair Housing Enforcement Center |
and Washington: |
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U.S. Department HUD |
U.S. Department HUD |
Fair Housing Enforcement Center |
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The Wanamaker Building |
Gateway Tower II |
U.S. Department HUD |
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100 Penn Square East |
400 State Avenue, Room 200 |
Seattle Federal Office Building |
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Philadelphia, PA |
Kansas City, KA |
909 First Avenue, Room 205 |
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(215) |
(913) |
Seattle, WA |
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(206) |
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TTY (215) |
TTY (913) |
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For Alabama, the Caribbean, |
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TTY (206) |
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Florida, Georgia, Kentucky, |
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Mississippi, North Carolina, |
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South Carolina, and Tennessee: |
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Fair Housing Enforcement Center |
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U.S. Department HUD |
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Richard B. Russell Federal Bldg. |
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75 Spring Street, SW, Room 230 |
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Atlanta, GA |
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(404) |
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TTY (404) |
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