MAIN FHANC General Intake Form
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  • Fair Housing Intake Form

  •  

    Thank you contacting Fair Housing Advocates of Northern California. 

    If you are a landlord who would like more information about fair housing, please visit our website at fairhousingnorcal.org. If you would like to request a training or a fair housing presentation for you or your employees, please contact our education department at adriana@fairhousingnorcal.org. 

    Please review our "Client Disclosure Statement" at fairhousingnorcal.org, which includes expectations for clients when working with a counselor or attorney.

    Thank you! 

     

    Gracias por contactar a Fair Housing Advocates of Northern California.

    Si usted es arrendador y desea obtener más información sobre la igualdad de oportunidades de vivienda, visite nuestro sitio web en fairhousingnorca.org. Si desea solicitar una presentación sobre igualdad de oportunidades de vivienda para usted o sus empleados, comuníquese con nuestro departamento de educación a través de adriana@fairhousingnorcal.org.

    Por favor, revise nuestra "Client Disclosure Statement" (Declaración de Divulgación) en fairhousingnorcal.org, que incluye las expectativas para los clientes al trabajar con un consejero o abogado.

    ¡Gracias!

     

    Bertha Cuevas 
    (she/her)
    Bilingual Housing Counselor and Intake Coordinator
    Fair Housing Advocates of Northern California
    851 Irwin Street, Suite 218, San Rafael, CA 94901
    Phone: (415)322-0545
    bertha@fairhousingnorcal.org
    http://www.fairhousingnorcal.org

     

  • Please complete this form and an intake counselor will reach out to you

  • Format: (000) 000-0000.
  •  / /
  • Household Members Breakdown

    Including yourself, please enter the number of people in your household by category
  • Should be Empty: