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NFHA Preliminary Intake Form

Submit this form to NFHA if there is no state/local fair housing agency in your area.
We will review your submission and follow up to conduct an intake to see how we may be able to assist you or refer you to appropriate resources.
This question requires a valid email address.
10. On which of the following do you believe the discrimination was based? *This question is required.
11. Who discriminated against you? *This question is required.
If not applicable, indicate "N/A"; if unknown, indicate "unknown."
13. Have you contacted other organizations, including attorneys, about this matter? *This question is required.
14. Has a fair housing administrative complaint or lawsuit ever been filed in this matter? *This question is required.
15. Tell us about your administrative complaint or lawsuit: *This question is required.