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FAIR HOUSING COMPLAINT/REFERRAL FORM DATE & TIME: NAME: ADDRESS: PHONE NUMBER: DESCRIBE WHAT OCCURRED (use additional pages as needed) REFERRED
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How to fill out fair housing complaintreferral form

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How to fill out a fair housing complaint/referral form:

01
Start by obtaining a copy of the fair housing complaint/referral form. This can usually be done by visiting or contacting the local fair housing agency or civil rights department.
02
Read the instructions carefully before beginning to fill out the form. This will ensure that you provide all the necessary information and complete the form correctly.
03
Begin by providing your personal information, such as your name, address, phone number, and email address. If you have any alternative contact information, be sure to include that as well.
04
Next, provide details about the alleged fair housing violation. Describe the incident or behavior you believe to be discriminatory and provide any relevant dates, times, or locations. Be as specific and detailed as possible, including any supporting evidence or witnesses.
05
Indicate the protected characteristic that you believe was the basis for discrimination. This could include race, color, religion, sex, disability, national origin, familial status, or any other protected category recognized by fair housing laws.
06
If applicable, provide information about any previous actions taken to address the issue. This could include contacting the housing provider or attempting mediation. Include any correspondence or documentation related to these actions, if available.
07
Include any additional information or comments that you believe are relevant to your complaint. This could include any additional witnesses, evidence, or documentation that supports your claim.
08
Finally, sign and date the form to indicate that the information provided is true and accurate to the best of your knowledge.

Who needs a fair housing complaint/referral form:

01
Individuals who believe they have experienced housing discrimination based on a protected characteristic, such as race, religion, disability, etc.
02
Tenants or prospective tenants who have been denied housing, treated unfairly during a tenancy, or evicted based on discriminatory practices.
03
Homebuyers who believe they were discriminated against during the process of renting or purchasing a home.
04
Advocates and organizations working to combat housing discrimination and protect the rights of individuals in housing transactions.
Remember, it is important to consult with your local fair housing agency or civil rights department for specific instructions and procedures in your jurisdiction.
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Fair housing complaint referral form is a document used to report discriminatory practices in housing.
Anyone who has experienced housing discrimination or witnessed discriminatory practices can file a fair housing complaint referral form.
To fill out a fair housing complaint referral form, you need to provide information about the discriminatory incident, including the date, location, and details of the discrimination.
The purpose of fair housing complaint referral form is to document and report instances of housing discrimination to the appropriate authorities for further investigation.
Information such as the date, location, and details of the discriminatory incident must be reported on the fair housing complaint referral form.
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