FORMAL TENANT COMPLAINT FORM

Date Filed:

MonthDayYear
Date Filed:
This form is to be used by Vandalia Terrace Apartments tenant who has a formal complaint about

NOTE: This complaint will be filed and will be confidential. Return this form to the property management. This section is to be completed by the person filing the complaint.
Name of Complainant:
Name of Complainant:
Apartment # of complainant:
Apartment # of complainant:
Person(s) Identified as part of or causing the conflict:
Name of person causing conflict:
Name of person causing conflict:
Apartment # of conflict:
Apartment # of conflict:
The problem or issue (please briefly describe / attached additional page if needed)

Include the steps you have taken to solve the problem informally. Be sure to include your desired outcome or resolution of your complaint.
Complaint, problem or issue, and steps taken:
Complaint, problem or issue, and steps taken:
Signature of Complainant

Clear
Date Signed:

MonthDayYear
Date Signed:
Please List the names of other people with information about the complaint or who have worked with you to try to resolve this issue.
Name of others with information about issue and/or resolution:
Name of others with information about issue and/or resolution:
Phone:
Name of others with information about issue and/or resolution:
Name of others with information about issue and/or resolution:
Phone
Did complainant call the police? If yes, please fill out date and time that the call was made.
Date Police were called:

MonthDayYear
Date Police were called:
Time Police were called:
Time Police were called:
Should be Empty: