AHA Interactive Fraud Report Form
AHA Interactive Fraud Report Form

HOUSING AUTHORITY OF THE CITY OF ALAMEDA
Alleged Abuse of Assisted Housing

Thank you for reporting information. ANYTHING YOU REPORT IS STRICTLY CONFIDENTIAL. DUE TO PRIVACY LAWS WE CANNOT PROVIDE ANY INFORMATION TO YOU.

Please provide the following information regarding the unit/ tenant in question:

Complete Address: *

Name of Family:

 

TYPE OF REPORT

Unreported income: Write the first and last names of the person(s) who receive the income; the amount per week; the name and address of employers; and how long the income has been received:

 

Drug-related or Violent Activity: Contact the police IMMEDIATELY to provide them with information on who uses/sells drugs: their birthday or age; days and times of day used; where drugs are stored; if there are violent people; if there are guns; what violent activity has happened and by whom. ALSO, provide the same information to us below. If there is already police involvement or and arrest, provide case number, persons involved, reasons and date of arrest.

 

Extra people in the unit: Write the first and last names; how long they have lived there; license plate of unreported person’s car; if they are related to the household; if they pay rent and how much they pay. (ALSO contact the landlord):

 

Household is noisy or causes disturbances: Tell the landlord. (For landlord information, call the Assessor at (510) 272-3787). You may also write details of the disturbances here:

 

Landlord is accepting extra money, living in the unit or breaking other rules: Write the name of the landlord; how much extra money the landlord collects; for how long; receipts, if any; how long the landlord has lived in the unit; and any other important details:

 

OPTIONAL: How did you get this information:

 

CONFIDENTIAL: Your name and a way we can reach you (e.g. telephone #) if necessary:

 



Security Measure
© Alameda Housing Authority | All Rights Reserved | Powered by Civiclive Inc. Connect. Engage. Serve.