Manufactured Homes Program Tenant Complaint Form

Manufactured Homes Program Tenant complaint form

1. New Radio Buttons

Please be advised, by submitting this complaint you give permission for DHCR MHP to provide the park owner with a copy of your complaint as part of the complaint processing.

Please note that when your complaint has been successfully submitted you will see a screen that states: Thank You, your complaint has been submitted and will be processed in the order it was received.

IF YOU HAVE RECEIVED AN EVICTION NOTICE OR A NOTICE TO APPEAR IN COURT, DHCR IS UNABLE TO REPRESENT YOU AND YOU MUST CONSULT AN ATTORNEY OR YOUR LOCAL LEGAL AID SERVICES.

2. First Name *This question is required.

3. Last Name *This question is required.

4. Street Address *This question is required.

5. Lot Number This question requires a valid number format.

6. City *This question is required.

7. State *This question is required.

8. Postal Code *This question is required.

9. County *This question is required.

10. Email Address This question requires a valid email address.

11. Primary Contact Number *This question is required.

12. Secondary Contact Number

13. Who should be contacted if different from the tenant listed above?

14. Alternate Contact Number