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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

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