What do I do about...

To get advice on your current situation, please fill out the form below. Fields highlighted in yellow are required.

Your Contact Information

First Name:

Last Name:

Phone Number:

Email:

If your primary language isn't English, what is it?

How should we contact you: Send self help material
Email
Phone

If you prefer us to contact you by phone, which phone number should we use?:

If you want self help material, please provide your mailing address:

Representing Someone Else?

Name of person you are contacting us about, if different:

Their phone number:

Property Information

Zip Code:
(must be city we serve)

Address that you are contacting us about (must be city we serve)

Type of unit:

Name of Apartment complex:

Number of units:

Household Income Source

Employment
Disability
Retirement
SSI
Unemployment

What can we help you with?

Description of Problem:
(Please provide as much detail as possible. That is: who, what, when, where, how.)

What is your time line: do you have a few weeks to decide what to do? Do you have a couple of days?

Following up

Where did you hear about HRI:

Is it ok to contact later to ask about satisfaction with assistance?
Yes
No

We will contact you with the next few days to follow-up on the information you have provided here. We may send you a packet of information (a self-help packet) that you may use to resolve the problems, we may e-mail or call with a referral or we may e-mail or call to ask more questions or to offer additional servcies. If you do not here from us feel free to e-mail us at services@housingrights.com (mention that you contacted us through our website first) or call us at 1800-261-2298.