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Fair Housing Complaint Form

Your Information
 
Incident Information
I believe the discrimination I received was based on (select all that apply):*
 
Offending Party Information
Please provide information about the person(s) who you believe discriminated against you:
Respondent 1
 
Respondent 2
 
Respondent 3
 
Respondent 4
 
Previous Complaints
Have you filed this complaint anywhere else (e.g., Maryland Commission on Civil Rights, HUD, etc.)?*
 
Complaint Summary
 
Attachment
 
Accessibility
 
Affirmation
By typing my name below, I affirm that I have read the above charge(s) and that it is true to the best of my knowledge, information and belief.
Print a copy of this form for your records.
Fields marked with * are required.