PLAINVIEW HOUSING TENANT COMPLAINT FORM
All complaints must be submitted in writing. Verbal complaints are not considered official.
TENANT INFORMATION
Name:
Unit #:
Phone:
Format: (000) 000-0000.
Email (optional):
example@example.com
COMPLAINT INFORMATION
Date(s) of Issue:
-
Month
-
Day
Year
Date
Person(s) involved (name or description):
Type of Complaint (check all that apply):
Maintenance
Lease/Policy
Staff
Neighbor/Guest
Parking
Safety
Fair Housing
Accommodation
Other
DESCRIPTION OF COMPLAINT
(Include dates, details, and names. Attach extra pages if needed.)
ACTION REQUESTED
PRIOR REPORTING
Have you reported this before?
No
Yes
If yes, when and to whom:
TENANT CERTIFICATION
I certify the information provided is true and correct. I understand retaliation for filing a complaint is prohibited and false information may result in lease enforcement.
Tenant Signature:
Date:
-
Month
-
Day
Year
Date
FOR MANAGEMENT USE ONLY
Date Received:
-
Month
-
Day
Year
Date
Received By:
Action/Notes:
Resolution Date:
-
Month
-
Day
Year
Date
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Submit
Should be Empty: