Language Access Complaint Form

Language Access Complaint Form
Name of Complainant
Name of Complainant
First Name
Last Name
Address *
Address
Address Line 1
Address Line 2
City
State
Zip Code
Email address
Confirm email address
Is someone else helping you fill out this complaint?
Name
Name
First Name
Last Name
Address *
Address
Address Line 1
Address Line 2
City
State
Zip Code
Email address
Confirm email address
Have you previously complained to anyone at the Illinois Housing Development Authority in relation to language access services?
IHDA Employee Name
IHDA Employee Name
First Name
Last Name

Note: This form is intended to gather information about your complaint. The Illinois Housing Development Authority will investigate your complaint and take appropriate action. You will be contacted about the outcome of the investigation.