The purpose of this form is to report suspected wrongdoing, fraud, or abuse by a landlord, tenant, or any other party involved with Everett Housing Authority (EHA) programs and services. EHA appreciates all reports and will take the necessary steps to ensure any program abuse will not continue and will be handled in the appropriate manner.

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* 1. Name of person you are reporting:

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* 2. What is your relationship to this person?

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* 3. This person is (please select one)

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* 4. Please provide an address for the person you are reporting:

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* 5. Please provide a phone number for the person you are reporting:

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* 6. Describe the suspected wrongdoing, fraud, or abuse:

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* 7. If you have additional documents, please upload them here.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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We will not examine your report without the following information.

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* 8. Please provide your name:

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* 9. Please provide your phone number:

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* 11. Non-Disclosure Request: Pursuant to RCW 42.56.240(2) of the Public Records Act, you may request that information revealing your identity not be disclosed if you fear that such disclosure would endanger the life, physical safety, or property of you or someone else.

Do you want to prevent information revealing your identity from being released in the event of a public records request?

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