Tenant Complaint Form
Complete this tenant complaint form based on the attached PDF.
Tenant Information
Complaint Date
-
Month
-
Day
Year
Date
Tenant Name
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Apartment #
Email
*
example@example.com
Complaint and Housing Status
Have you made your landlord aware of the problems in your apartment?
*
Yes
No
Did you give your landlord a written complaint (email, text, certified mail)?
*
Yes
No
Have you given the landlord a reasonable amount of time to respond and make repairs?
*
Yes
No
Were these issues present when you moved in and accepted the apartment?
Yes
No
Not sure
How long have you lived there?
*
How long have these problems persisted?
*
Are you being evicted?
Yes
No
Not sure / pending
Is your rent paid up to date or are you withholding rent?
*
Please Select
Rent paid up to date
Withholding rent
Partial payment
Other
Have you set up an escrow account and made the landlord aware that you are exercising this right until repairs have been completed?
Yes
No
Do you have a contact number for the owner or property manager?
Yes
No
Complaint Details and Evidence
Owner/Property Manager Contact Information
Nature of Complaints
*
Proof You Notified Owner/Manager
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of
Pictures or Video of the Violation
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of
Legal Notices
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of
Landlord/Property Manager Contact Name and Information
Submit
Should be Empty: