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Landlord / Apartment Complaint Form


Step 1: Complaint Form Step 1: Complaint Form Step 2: Review/ Process Step 3: Get Case Number Step 4: Monitor Status Online
	Your privacy is secure! Following Mediation, your personal contact info will be kept private and hidden from public record. The Federal Uniform Residential Landlord and Tenant Act protects tenants that have filed a complaint with the RPA® from landlord retaliation. URLTA Article V § 5.101

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Rental / Renter Information

^*Name: (Separate multiple names with comma)	Email: (Kept Private / no spam)		Primary Phone: (xxx)xxx-xxxx
^* Rental Street Address: (If applicable; include apartment #)	^*City:	^*State:	^*Zip Code:
^* Mailing Address: Same as Above Different

^* Landlord / Manager Name: (Separate Multiple Names with Comma)	Business/ Apartment Complex Name (if Available / Applicable)
^*Business Mailing Address: (Typically Where Rents Are Mailed / Include Suite)	^*City:	^*State:	^*Zip Code:
Check this box if there is an additional contact such as: Owner, Property Management Company, Corporate Office, Collection Agency, etc.

Primary Phone:
(xxx)xxx-xxxx

Secondary Phone:
(xxx)xxx-xxxx

Email:
(Kept Private / no spam)

	^* Title of Complaint: (e.g: Deposit Problems,Repair issue,Breach of Agreement)
	0 /75 Maximum limit is 75 Characters


^* What is Your Purposed Resolution? (Create up to 5 specific requests. i.e: 1. Refund $300 Deposit, 2. Reimburse for RPA® Fees, etc.) 1. Add another 5.
0 /115	Maximum limit is 115 Characters
Please provide a brief overview of the complaint: (This will be provided to landlord. Avoid hostile tones/ profanity)
0 /2500 Maximum limit is 2500 Characters ( Once the complaint is filed, other details, pictures, letters, etc can be added to your case.)

Please enter the word in the box: Why? This helps block spam bots. Not readable? Change text.

	I authorize the landlord / manager to provide the Rental Protection Agency with any and all information in regards to this case, my lease, or any other personal information required for this investigation. I also understand that filing fees are non-refundable. (By clicking on the box you are digitally signing this release authorization: Your IP Address is: 18.117.182.179)

As of APR 26,2024 | 07:06 EST
Renters 118,118,384

Landlords 24,244,297

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