Housing Complaint Form

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					                                                 Housing Complaint Form
The content of this complaint form consists of subjective opinions of the tenant. The landlord has full opportunity to
respond, and the landlord’s response is included, if such a response is received. The presentation of a response does not
imply that the landlord is guilty of breaking any law, that the facts alleged in the complaint or the landlord’s response are
true, or that the Off-Campus Housing Service has reviewed the complaint or the landlord’s response.

PLEASE PRINT OR TYPE

Name:

Address:



HOUSING INFORMATION

Date complaint filed: mm/dd/yy

Name of apartment complex (if available):

Address of landlord/management company:

Name of landlord or management company:

Address of property/housing related to complaint:


Type of housing (Please check one)
Apartment            House         Boardinghouse/ House-share              (property owner lives in the unit)

Other (please specify)

Amount of rent $                  paid monthly      quarterly     weekly        other

Amount of security deposit (if applicable) $

Length of lease (if applicable)            Length of residence

Did you find this property/housing listing at the UMBC Off-Campus Housing Service? Yes               No


GENERAL NATURE OF COMPLAINT (please check applicable space):

   Security                                                Bug or rodent infestation

   Uninhabitable living conditions                         Unfair lease provisions

   Landlord’s refusal to permit sublease                   Landlord’s refusal to make repairs in timely fashion

   Harassment by landlord                                  Discrimination by landlord

Other
                                             (Use back page for written statement)


                                    Return this form to: Ramona Arthur, Director
                            Off-Campus Student Services ▪ The Commons, Room 309 UMBC
                                     1000 Hilltop Circle, Baltimore, MD 21250
                                                                                                                      Page 1.
                                         Housing Complaint Form
                                  (Please Type or Print Legibly - 200 words or less)


Describe nature of complaint (Written summary/details)




UMBC Off-Campus Housing Center
The Commons, Suite 309
Form updated: Updated: 10/05/05
                                                                                       Page 2 .

				
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