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Housing Complaint Form - Housing-Related Issues Only

Format: (xxx) xxx-xxxx
Please write a description of the incident, in chronological order. Provide details concerning your observations, actions of individuals and accurate statements made by all parties that you recall. Include names of witnesses.
Please enter your A# as confirmation. I affirm that all of the information provided on this form is accurate and that I am the authorized owner of the indicated student ID (A#).