Route Y
FORMAL COMPLAINT/FEEDBACK
All items must be completed in order to submit feedback.
Personal Information
Name:
Email:
Phone Number:
Information of Facility
Please provide the information requested for the facility you have feedback about.
Complex/House Name:
Address:
Unit Number:
Manager:
Owner (if known):
Reported to Landlord?
Yes
No
Feedback
Please indicate the category that best matches your feedback:
Positive Feedback
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Account Charges
Deposit Concerns
Living Conditions
Maintenance
Non Responsive Landlord
Residential Living Standards Violations
Roommate/Neighbor Concerns
Please outline the nature and details of your feedback including dates this concern spanned.
Please include the details of what you have done to resolve the concern and what actions, if any, your landlord has taken.
Send me a copy of my feedback.
