AHA Interactive Complaint Form
AHA Complaint Form

Filing a complaint about an AHA-owned and managed apartment/unit

My Name:  
Address:   
Telephone: Email:

 

What is the address you are complaining about?*

As above Other

 

What is your role?

 An applicant

A residentA neighborOther 
  
 
A lawyer/advocate
 
If you are a lawyer/advocate, what firm/agency are you from?
 
 
If you are not the resident and are seeking details about a resident, the resident will need to a complete a release of information form.

 

What is your complaint about?*

Rent increase
Maintenance
Parking
Lease Violation
Smoking
Other

 

Have you raised this complaint with an employee of the Housing Authority?

Yes
 Date and person you spoke with:  
 
No   You are advised to speak with the property manager.
 

 

Please describe your complaint. Please keep this as brief as possible and include names, dates and witnesses as applicable.

 

Please attach any documentation relating to your complaint. Please do not attach personal medical information.

By checking this box and typing my name below, I am electronically signing this form.

Date: Print Name:  

 

If a physical address was provided we intend to respond to your complaint within 10 business days. Please do not call during this time. We will respond in writing. Please understand that if you have not spoken with the site staff/senior property manager the Housing Authority will most likely pass your complaint to them for initial response and follow up.

If you have a disability and need to file a reasonable accommodation request, please contact your worker or property manager. If you are making a 504 discrimination complaint, please contact the 504 Coordinator at 504coordinator@alamedahsg.org.

 

For office use only:

Date Received By whom
Date Responded By whom
 
 


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