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Department of Housing and Community Affairs

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Landlord-Tenant Complaint Form

Instructions:
  • Fill out the Complaint Form accurately and completely.
  • Provide the following documentation with the Complaint Form (if applicable):
    • Lease agreement (including all addenda);
    • Correspondence to or from the landlord/tenant;
    • Receipts for repairs; and
    • Photographs, videotapes, or any other documentation in support of this complaint.
  • Submit Complaint Form Online.
  • Download a copy of the Complaint Form and Instructions for your record.
  • Send a copy of the completed Complaint Form to the other party to put them on notice and provide an opportunity to resolve the dispute.
  • Once our Office receives your Complaint Form, you will be notified in writing of the case number and the name and telephone number of the Investigator assigned to your case.

Part I: Person(s) Filing the Complaint (Complainant)
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Enter a valid email address

Part II: Person(s) Complaint is Against (Respondent)
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Part III: Rental Property (Address of rental unit involved in the dispute)
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Part IV: Complaint
 
 Security Deposit    Lease    Notice to Vacate    Condition of Property    Other  
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 No    Code Enforcement    District Court    Fair Housing/Human Rights    Landlord-Tenant Affairs    State Attorney General    Other  
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Part V: Upload Supporting Documents
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I affirm under penalty of perjury that the above information is true to the best of my knowledge and belief. I also understand that if there are any changes in property ownership, owner address, or agent/legal agent contact information that I must notify the Department of Housing and Community Affairs, Licensing and Registration Unit within 10 days of the change.



If you have any questions, please contact the Office of Landlord-Tenant Affairs at 240-777-0311


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