Housing Issue Reporting Form – Housing Authority of the City of Augusta, GA

Housing Issue Reporting Form

You can use this online form to report issues or incidents concerning Augusta Housing Authority programs and operations.

SECTION 1

YOUR CONTACT INFORMATION

Email

Last Name

First Name

Address

Apt, suite, etc.

Country

City

State

Zip code

Home Phone

Cell Phone

Work Phone

Are you a victim of the alleged violation/fraud?

SECTION 2

WHO ARE YOU REPORTING?

Person or Business

Address

Apt, suite, etc.

Country

City

State

Zip code

Phone

SECTION 3

SUMMARY

Description

Please furnish the facts of the issue. Include who, what, when, where, how and why: