Claimant Form
Please follow the instructions carefully.If you don't, you will have to repeat the process all over again.
  • Instructions
  • Filing Form

To file we need about you::

  • Your Information. (Name, Telephone, Email)
  • Your rental unit (Address, City, State, Zip)

Need about your landlord or property management company:

  • Their information (Name, address, City, State, Zip)

Tell us What happened.We want to hear both positive and negative reports. Please for faster processing please do the following:

  • Detailed with dates
  • Please no slang or abusive language (unless it is a direct quote)
  • No HTML coding. (Great for Myspace but not for WiseReporting.)
  • No Cellphone Texting language ( my landl0rd y3ll3d @ me.)

Additional Info (Name withholding):

  • Name withholding. We can at your wish, withhold your name and telephone number. However it will still be required to file. We will not share it with your landlord propective tenants.
  • We will share the information with police if warrant is issued.
  • We need the information to combat abuse.
 
About Your Landlord or Managment company
Company Name
Name of Person
Address
Addtional address
City, State Zip
Telephone
Email
About You and the property.

Information about you and the rental unit that you are in.

Your Name (even if you will be withholding)
Address
Additional address
City, State Zip
Telephone
Email
You are: Tenant Room mate Government Family Attorney Other

 

Tell us. What Happened
Addtional Info
Do you want your information (Name Tel Email) withheld? Yes Please No It's ok.
Are you withholding rent.
What is your current living situation?
Have you contacted the landlord. If so whom, when and how.
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