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The purpose of this form is for residents, advocates, or other interested parties to submit inquiries or complaints regarding resident rights or impacts during a RAD conversion. Please complete as much information as possible below so that the Resident Engagement and Protections team can look into your question/concern and respond as quickly and thoroughly as possible.


Name (First*/Last):


How can we contact you:*


Contact Information:*


Tell us about you:*


Property Name & Address:*


Public Housing Agency (PHA) Information (if known):


Topics/Issues in complaint/Inquiry:*


Please describe your concern or issue:*


Other Information


If answered, “yes” above, provide a brief explanation