City of Havre de Grace
711 Pennington Ave
Havre de Grace MD 21078
(410) 939-1800
TENANT COMPLAINT FORM
Please Print
Tenant Name: ________________________________________________________________
Rental Address: _______________________________________________________________
Telephone Number: ____________________________________________________________
Property Owners Name: ________________________________________________________
Management Company: ________________________________________________________
Owner Mailing Address: ________________________________________________________
Owner Telephone Number: _____________________________________________________
Do you have a written lease agreement? ______ YES ______ NO
Are your rent payments current? ______ YES ______ NO
Please briefly describe your complaints and your efforts to have the landlord correct them:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
_______________________________________ _____________________
Signature of Tenant Date
click to sign
signature
click to edit