February 5, 2019

Housing Intake Form

If you are a Maryland tenant, or own rental property in Maryland, and need help with a rental housing issue, please completely fill out the form below and send it in. Someone will respond as soon as possible, usually within 24 hours.

Please note: We do not provide financial assistance. If you are in need of rental assistance, please go here.

If you are experiencing discrimination or a Fair Housing violation, please use this intake form instead.

It’s important to fill out all the fields correctly, and truthfully, as many of our funders require this information in the aggregate. Identifying information will not be shared with anyone outside our office, without your express written permission.

I am a... *
Race *
Gender *
Do you receive a housing subsidy? *
Do you have a disability? *
Are you aware that Maryland has a Renter's Tax Credit? *
Would you like more information on the Maryland Renter's Tax Credit, or assistance with filling out the application?
The Fair Housing Action Center of Maryland works to advance an agenda of Fair Housing and housing equity in Maryland through legislative advocacy and research. Examples include signing a petition or contacting your elected officials. Would you be interested in hearing about opportunities to participate in the advocacy process? *
Would you be interested in sharing your story with the media? *