Form Hud-903 - Housing Discrimination Complaint Form - U.s. Department Of Housing And Urban Development Page 3

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For Alabama, the Caribbean, Florida, Georgia, Kentucky,
For Arizona, California, Hawaii, and Nevada:
Mississippi, North Carolina, South Carolina, and Tennessee:
PACIFIC/HAWAII OFFICE (Charles_Hauptman@hud.gov)
SOUTHEAST/CARIBBEAN OFFICE
Fair Housing Enforcement Center
(Gregory_L._King@hud.gov)
U.S. Department of Housing and Urban Development
Fair Housing Enforcement Center
Phillip Burton Federal Building and U.S. Courthouse
U.S. Department of Housing and Urban Development
450 Golden Gate Avenue
Five Points Plaza
San Francisco, CA 94102-3448
40 Marietta Street, 16th Floor
Telephone (415) 436-8400 or 1-800-347-3739
Atlanta, GA 30303-2806
Fax (415) 436-8537 • TTY (415) 436-6594
Telephone (404) 331-5140 or 1-800-440-8091
For Alaska, Idaho, Oregon, and Washington:
Fax (404) 331-1021 • TTY (404) 730-2654
NORTHWEST/ALASKA OFFICE (Judith_Keeler@hud.gov)
For Illinois, Indiana, Michigan, Minnesota, Ohio, and Wiscon-
Fair Housing Enforcement Center
sin:
U.S. Department of Housing and Urban Development
MIDWEST OFFICE (Barbara_Knox@hud.gov)
Seattle Federal Office Building
Fair Housing Enforcement Center
909 First Avenue, Room 205
U.S. Department of Housing and Urban Development
Seattle, WA 98104-1000
Ralph H. Metcalfe Federal Building
Telephone (206) 220-5170 or 1-800-877-0246
77 West Jackson Boulevard, Room 2101
Fax (206) 220-5447 • TTY (206) 220-5185
Chicago, IL 60604-3507
Telephone (312) 353-7776 or 1-800-765-9372
If after contacting the local office nearest you, you still have
Fax (312) 886-2837 • TTY (312) 353-7143
questions – you may contact HUD further at :
U.S. Department of Housing and Urban Development
For Arkansas, Louisiana, New Mexico, Oklahoma, and Texas:
Office of Fair Housing and Equal Opportunity
SOUTHWEST OFFICE (Thurman G. Miles@hud.gov or
451 7th Street, S.W., Room 5204
Garry_L._Sweeney@hud.gov)
Washington, DC 20410-2000
Fair Housing Enforcement Center
Telephone (202) 708-0836 or 1-800-669-9777
Fax (202) 708-1425 • TTY 1-800-927-9275
U.S. Department of Housing and Urban Development
801 North Cherry, 27th Floor
Privacy Act of 1974 (P.L. 93-579)
Fort Worth, TX 76102
Telephone (817) 978-5900 or 1-888-560-8913
Authority: Title VIII of the Civil Rights Act of 1968, as amended by
the Fair Housing Amendments Act of 1988, (P.L. 100-430).
Fax (817) 978-5876 or 5851 • TTY (817) 978-5595
Purpose: The information requested on this form is to be used to
For Iowa, Kansas, Missouri and Nebraska:
investigate and to process housing discrimination complaints.
GREAT PLAINS OFFICE (Robbie_Herndon@hud.gov)
Use: The information may be disclosed to the United States Depart-
ment of Justice for its use in the filing of pattern or practice suits of
Fair Housing Enforcement Center
housing discrimination or the prosecution of the person who commit-
U.S. Department of Housing and Urban Development
ted the discrimination where violence is involved; and to state or local
Gateway Tower II
fair housing agencies which administer substantially equivalent fair
400 State Avenue, Room 200, 4th Floor
housing laws for complaint processing.
Kansas City, KS 66101-2406
Penalty: Failure to provide some or all of the requested information
Telephone (913) 551-6958 or 1-800-743-5323
will result in delay or denial of HUD assistance.
Fax (913) 551-6856 • TTY (913) 551-6972
Disclosure of this information is voluntary.
For Colorado, Montana, North Dakota, South Dakota, Utah, and
Wyoming:
ROCKY MOUNTAINS OFFICE (Sharon_L. _Santoya@hud.gov)
Fair Housing Enforcement Center
U.S. Department of Housing and Urban Development
633 17th Street
Denver, CO 80202-3690
Telephone (303) 672-5437 or 1-800-877-7353
Fax (303) 672-5026 • TTY (303) 672-5248
For further information call the Toll-free Fair Housing Complaint Hotline 1-800-669-9777.
Hearing Impaired persons may call (TDD) 1-800-927-9275.
form HUD-903 (7/2001)
Previous editions are obsolete
Page 3 of 3
ref Handbook 8024.1

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