Housing Abuse Report

Do you know someone who . . .

Doesn’t report their entire household income?
Doesn’t report everyone living or not living in the household?
Rents or sublets their rent-assisted apartment or house?
Accepts or makes rental payments not approved by YHA?
Commits criminal activity while being assisted or employed by YHA?
Steals time, money, or resources from YHA?
Pays or accepts bribes?
Benefits illegally from YHA business or programs?

If you know that someone on housing, a YHA employee, YHA landlord, YHA vendor, or anyone associated with YHA has committed fraud or abuse, you are encouraged to fill out and submit a form with detailed information. All reporting is confidential, and no information regarding the outcome of an investigation will be provided to those who make a report.

* Indicates a required field.

I wish to report the following:* If other:

Person you are reporting

I am reporting the fraudulent behavior of the person who resides as follows:

Person on housing* Address of person on housing* City* Zip Code

Person has unauthorized occupant(s)

Name(s) of unauthorized occupant(s)* Vehicle License Plate # of unauthorized occupant(s)*

Person or household member has unreported income

Employer/Source of Income *

Person's child(ren) no longer in the household

Name(s) of child(ren) * Who has the child(ren)? *

Person or household member(s) has engaged in criminal activity

Name(s)* Type of criminal activity*

Contact information

I understand that in order to protect confidentiality, YHA will not discuss the outcome of any investigation resulting from information I choose to report.

I agree to the above.* Your Name* Phone* Email

Residents

Housing Abuse Report

Do you know someone who . . .

Person you are reporting

Person has unauthorized occupant(s)

Person or household member has unreported income

Person's child(ren) no longer in the household

Person or household member(s) has engaged in criminal activity

Contact information

Office Hours

Office Address

Mailing Address

Phone Numbers