Housing Intake Packet
Housing Intake Packet Information
To file a charge of Housing discrimination, please complete the following three documents and return them to the Division of Civil Rights at the address listed below. The documents are downloadable in either Adobe (.pdf) or Word (.doc) format for your convenience.
| Adobe Format | Word Format |
| Housing Intake Form | Housing Intake Form |
| Statement of Discrimination | Statement of Discrimination |
| Authorization to Release Information | Authorization to Release Information |
NOTE: There is a requirement under the law for you to file the claim within a specific period of time (statute of limitations). For Housing discrimination charges, the claim MUST be filed within 1 year from the date of the last occurrence of the alleged discriminatory act. If this time frame has passed, we cannot investigate your claim.
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