Informal Review Request – Housing Authority Of Kingstree

Informal Review/Hearing Request

Today's Date

First Name

Last Name

Last 4 Digits of your Social Security Number

Street Address

City

State

Zip Code

Phone Number

Please state why you believe the intended action is wrong.

I will need an interpreter

If yes, state the language or type of interpreter you need.

Housing Authority of Kingstree

We are an Equal Housing Opportunity Provider.

We provide housing without discrimination on the basis of race, color, religion, sex, physical or mental handicap, familial status, national origin, or other protected class. To file a complaint of discrimination, write HUD Director, Office of Civil

Rights, 451 7th Street S.W., Washington, D.C. 20410 or call Customer Service at (202) 708-1112 (voice) or (202) 708-1455 (TTY). HUD is an equal opportunity provider and employer.

In accordance with federal law and United States Department of Housing and Urban Development (HUD) policy, this institution is prohibited from discriminating on the basis of race, color, national origin, age, disability, sex or familial status. To file a complaint of discrimination, write HUD Director, Office of Civil Rights, 451 7th Street S.W., Washington, DC 20410, or call (202) 708-1112 (voice) or (202) 708-1455 (TDD).

Our mission is to provide and encourage the development of quality affordable housing for individuals and families while promoting self-sufficiency and neighborhood revitalization.

Informal Review/Hearing Request

Housing Authority of Kingstree

We are an Equal Housing Opportunity Provider.

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