Welcome to our pre-qualification questionaire
We are advocates for Fair Housing act related discrimination. While we are not attorney's we fight for your rights to ensure that you are treated fairly. Fill out the following questionnaire to become prequalified for our services.
Let's begin
 
Privacy Policy *

Fair Housing Advocates Inc. (FHA) is Not a law firm, and is not engaged in rendering legal services or giving legal advice.  Consumers who require legal, foreclosure defense, bankruptcy or mortgage modification services or assistance are instructed to retain a competent attorney. FHA is not a lender or mortgage broker, nor is FHA engaged in the brokerage, origination, processing, or underwriting of mortgage loans for lending purposes. FHA does not provide modifications, or modification services, nor does the firm assist or provide short sales, deeds-in-lieu of foreclosure, or extensions of time to cure defaults or reinstate loans. FHA does not stop, prevent, or postpone foreclosures.  Consumers who require such services must seek the services of an attorney
     
 
What's your first name? *

 
Hey {{answer_10912787}}, nice to meet you.

What is your last name?

 
And your phone number? *

 
Address

 
Home/Apartment number

 
{{answer_12005021}}on which street/road/ave?

 
City

 
State

 
Zip Code:

 
The following questions will help us better serve you and ensure the best service while resolving your claim.

These questions will determine how we can take immediate action to get you a resolution as quickly as possible.
 
Is {{answer_12005021}} {{answer_12005046}}in {{answer_12005061}}, {{answer_12005065}} your primary residence? *

A primary residence is one in which you reside.
     
 
Did the alleged discriminatory act occur while looking for, inquiring about, or applying for a new primary residence? *

     
 
Do you have a written lease agreement? (even if it's month-to-month) *

     
 
Property Type *

The type of property in which you live, were evicted from, or sought housing:

 
Do you rent a room in the home of your landlord? *

     
 
Are you behind in your rent? *

     
 
Who committed the alleged discriminatory act? *

 
Did the alleged discriminatory behavior occur within the last 330 days (11 Months)? *

     
 
Did the alleged discriminatory behavior occur within the last 90 days (3 months)? *

     
 
Do you have any tangible proof that the discriminatory act occurred within the last 360 days? *

     
 
Do you have any email or other dated written correspondence which could be used as evidence? *

     
 
The following questions are for the person who was discriminated against

 
Are you disabled and have supporting documentation to prove it? *

     
 
Select the disabilities below which apply to the person who was discriminated against. *


 
Do you require, or have, a service dog or an Emotional Support Animal (ESA)? *

     
 
Do you have a letter from a medical professional prescribing the service dog or ESA? *

     
 
Were you told during your search for housing, or during the application process, that your Service Animal or Emotional Support Animal could not live on the property with you because of their Rules and Regulations *

     
 
Were you told during your search for housing, or during the application process that your Service Animal or Emotional Support Animal would be subjected to a Pet Deposit, Pet Fee, or Pet Rent after you disclosed you were Disabled and required your Service Animal/ESA? *

     
Thank you!
We will be in contact with you regarding your situation and answer any questions you may have about fair housing
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Unfortunately {{answer_10912787}}, we cannot provide services that are not with respect to your primary residence.
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