HUD Form 903 Complaint

Ka warbixi Takoorka Guryaha

Waaxda Guryeynta iyo Horumarinta Magaalooyinka ee Maraykanka
Xafiiska Guriyeynta Cadaalada ah iyo Fursadda siman

SU'AAL 1

Maxaad u aaminsan tahay in qof ku takooray, qof aad la nooshahay, ama qof aad dooneysey inaad la noolaato?

Dooro ugu yaraan hal sabab. Waxaad dooran kartaa wax ka badan hal.

Sababtoo ah jinsiyada

Sababtoo ah midabka

Sabatoo ah diinta wgeed

Sababtoo ah asal qaran (ay ku jirto aqoonta Ingiriisiga xaddidan)

Sababtoo ah naafanimada

Jinsiga awgeed (tani waxaa ku jira, laakiin aan ku xaddidnayn, takoorida jinsiga awgeed, aqoonsiga jinsiga dhabta ah ama la dareemay ama jihada jinsiga)

Sababtoo ah xaaladda qoyska (tani waxaa ku jira carruurta ka yar 18 sano jir, uur ama raadinaya mas'uuliyad sharci)

Sababtoo ah, ama natiijo toos ah oo ka dhalatay, adiga ama qof qoyskaaga ka tirsan oo ka badbaadey rabshadaha qoyska, rabshadaha hasaawaha, farxumeyn galmo, ama dabagal (sida qabidda diwaan dambiyeed, taarikh guri ka saarid ama taarikh amaah xun), ama waxaad aaminsantahay in lagu xadgubey xuquuq guri kale marka loo eego sharciga Rabshadaha ka dhanka ah haweenka (VAWA) (tusaale, mulkiilahaagu ma uusan bixin wareejin degdeg ah, waxaa lagugu ganaaxay wacidda 9-1-1 ama raadsashada adeegyada gurmadka). Ilaalinta VAWA waxay quseeysaa iyadoon loo eegayn jinsiga, nooca galmoodka, ama aqoonsiga jinsiga.

Sababtoo ah aargoosi, caga-juglayn, ama faragelin la xiriiirta fulinta xaquuqda guriyeynta cadaalad ah ama xaqa VAWA (sida xaraynta cabashada, ka markhaati furka dacwadda), ama ka caawinta kuwa kale inay sidaas sameeyaan.

Sabab kale (hoos sharax)

SU'AAL 2

Yaa ku takooray?

Bixi macluumaadka ugu badan ee aad haysatid. La xiriiri mayno ka hor intaanan kula hadlin.

Magaca koowaad (ama magaca ganacsiga):

Magaca dambe:

Xiriirka adiga: ( tusaale mulkiilaha, amaahiyaha, wakiilka guryaha):

Magaca ganacsiga ama magaca shaqada:

Cinwaanka wadada:

Apt. ama cutub:

Magaalada:

Gobolka:

Sibka:

Lambarka taleefanka 1:

Lambarka taleefanka 2:

Cinwaanka emailka:

In ka badan hal qof ama ganacsi ayaa i takooray. Waxaan ururin doonaa magacyadooda iyo macluumaadka xiriirka marka aan kula hadalno.

SU'AAL 3

Xagee ka dhacday takoorka?

Bixi magaca iyo ciwaanka dhismaha, dhismaha dabaqa, ama goobta kale ee takoorku ka dhacay. Bixi macluumaadka ugu badan ee aad haysatid

Goobta (tusaale ahaan, magaca guri ijaar ama hanti iib, hay'ad dadweyne, ganacsi, ama bangi):

Cinwaanka wadada:

Apt ama cutub:

Magaalada:

*Gobolka:

Sibka:

SU'AAL 4

*Goorma ayay dhacday takoorku?

Haddii ay marar badan dhacday ama ay weli dhacayso, bixi taariikhda kuugu dambaysay ee aad la kulantay takoorid.

*Taariikh(aha) takoorka:

Takoorka lagu eedeeyay wuu sii socdaa ama wuu socdaa ama takoorka lagu eedeeyay ayaa wali dhacaya.

SU'AAL 5

*Maxaa dhacay?

Soo koob dhacdooyinka iyo sababta aad u aaminsan tahay inaad la kulantay takoorid guri sababtoo ah jinsiyad, midab, asal qaran, diin, jinsi, naafo, ama xaalad qoys iyo/ama xadgudub Xuquuqda VAWA Tusaale ahaan: Ma laguu diiday fursad aad guri kiraysato ama aad ku iibsato? Ama ma loo diiday? Loo sheegay in guriyeynta aan la heli karin marka ay dhab ahaantii ahayd? Si ka duwan baa loola dhaqmay sababtoo ah joogitaanka carruurta yaryar? Ma la diiday hoy macquul ah oo la xidhiidha iinta? Ma lagaa saaray dookhaaga galmo awgeed? Ma lagaa joojiyay ka-qaybgalka barnaamijka kaalmada- guryaynta?Ma loo diiday xuquuq sababtoo ah ama ku saleysan ka badbaadida rabshadaha qoyska ama faraxumaynta? Lagu ganaaxay wicista 9-1-1? Si ka duwan loola dhaqmo ama loo diiday adeegyada gobolka, dawladda hoose, wakaalada guryaynta dadweynaha, ama urur kale oo laga yaabo inay lacag ka helaan HUD? Sharax sababaha aad u aaminsantahay in takoorku dhacay, cadaymo kasta oo aad hayso oo bixi magacyada markhaatiyada (haddii ay jiraan).

MACLUUMAADKA XIRIIRKA

Sideen kula soo xiriiri karnaa?

Waxaan u baahan doonaa inaan kula soo xiriirno ka dib markaan dib u eegno macluumaadkaaga. Ma siidayn doono mid ka mid ah macluumaadkaaga khaaska ah qofka aad u aqoonsatay inuu ku takoorayo ka hor inta aanan ogaysiin cabasho rasmi ah.

Meesha Labaad ee Xiriirka

Magaca koowaad:

Magaca dambe:

Lambarka taleefanka:

Cinwaanka emailka:

Xiriirka adiga (ikhtiyaar)

Xubin qoys ama saaxiib
Qareen
U doodaha guriyeynta cadaaladda ah ama wakiil
Mid kale

Dib u eeg oo gudbi cabashadaada

Dib u eeg jawaabahaaga, samee wax ka beddel (haddii loo baahdo), oo gudbi cabashadaada.

Maxaad u aaminsan tahay in qof ku takooray, qof aad la nooshahay, ama qof aad dooneysey inaad la noolaato?

Sababtoo ah jinsiyada
Sababtoo ah midabka
Sabatoo ah diinta wgeed
Sababtoo ah asal qaran (ay ku jirto aqoonta Ingiriisiga xaddidan)
Sababtoo ah naafanimada
Jinsiga awgeed (tani waxaa ku jira, laakiin aan ku xaddidnayn, takoorida jinsiga awgeed, aqoonsiga jinsiga dhabta ah ama la dareemay ama jihada jinsiga)
Sababtoo ah xaaladda qoyska (tani waxaa ku jira carruurta ka yar 18 sano jir, uur ama raadinaya mas'uuliyad sharci)
Sababtoo ah, ama natiijo toos ah oo ka dhalatay, adiga ama qof qoyskaaga ka tirsan oo ka badbaadey rabshadaha qoyska, rabshadaha hasaawaha, farxumeyn galmo, ama dabagal (sida qabidda diwaan dambiyeed, taarikh guri ka saarid ama taarikh amaah xun), ama waxaad aaminsantahay in lagu xadgubey xuquuq guri kale marka loo eego sharciga Rabshadaha ka dhanka ah haweenka (VAWA) (tusaale, mulkiilahaagu ma uusan bixin wareejin degdeg ah, waxaa lagugu ganaaxay wacidda 9-1-1 ama raadsashada adeegyada gurmadka). Ilaalinta VAWA waxay quseeysaa iyadoon loo eegayn jinsiga, nooca galmoodka, ama aqoonsiga jinsiga.
Sababtoo ah aargoosi, caga-juglayn, ama faragelin la xiriiirta fulinta xaquuqda guriyeynta cadaalad ah ama xaqa VAWA (sida xaraynta cabashada, ka markhaati furka dacwadda), ama ka caawinta kuwa kale inay sidaas sameeyaan.
Sabab kale (hoos sharax)

Yaa ku takooray?

Magaca koowaad (ama magaca ganacsiga):

Magaca dambe:

Xiriirka adiga: ( tusaale mulkiilaha, amaahiyaha, wakiilka guryaha):

Cinwaanka wadada:

Apt. ama cutub:

Magaca ganacsiga ama magaca shaqada:

Magaalada:

Gobolka:

Sibka:

Lambarka taleefanka 1:

Lambarka taleefanka 2:

Cinwaanka emailka:

In ka badan hal qof ama ganacsi ayaa i takooray. Waxaan ururin doonaa magacyadooda iyo macluumaadka xiriirka marka aan kula hadalno.

Xagee ka dhacday takoorka?

Goobta (tusaale ahaan, magaca guri ijaar ama hanti iib, hay'ad dadweyne, ganacsi, ama bangi):

Cinwaanka wadada:

Apt ama cutub:

Magaalada:

*Gobolka:

Sibka:

*Goorma ayay dhacday takoorku?

*Taariikh(aha) takoorka:

Takoorka lagu eedeeyay wuu sii socdaa ama wuu socdaa ama takoorka lagu eedeeyay ayaa wali dhacaya.

*Maxaa dhacay?

Sideen kula soo xiriiri karnaa?

Magacaaga iyo macluumaadkaaga xiriirka

*Magaca koowaad:

*Magaca dambe:

Lambarka taleefanka:

Taleefanka ?

Ciwaanka iimaylka:

Xiriirka la door:

Waqtiga ugu:

Luuqadaha la door biday:

Cinwaanka boostada

*Cinwaanka Waddada:

Apt. ama cutub:

*Magaalada

*Gobolka

*Sibka:

Meesha Labaad ee Xiriirka

Magaca koowaad:

Magaca dambe:

Lambarka taleefanka:

Cinwaanka emailka:

Xiriirka adiga (ikhtiyaar)

Xubin qoys ama saaxiib
Qareen
U doodaha guriyeynta cadaaladda ah ama wakiil
Mid kale

Ka bax Foomka Cabashada Adigoon Gudbin

Qoraalka Culayska Xeerka Yareynta Waraqaha-shaqada

Culayska warbixinta dadwaynaha ee xog ururintan ayaa lagu qiyaasay celcelis ahaan 0.75 saacadood, oo ay ku jirto wakhtiga dib u eegista tilmaamaha, raadinta ilaha xogta jira, ururinta iyo ilaalinta xogta loo baahan yahay, iyo dhamaystirka iyo dib u eegista ururinta macluumaadka.

U dir faallooyinka ku saabsan qiyaasta culayskan ama dhinac kasta oo kale oo ka mid ah ururintan macluumaadka, oo ay ku jiraan talooyinka lagu dhimayo culayskan, Sarkaalka Maamulka Warbixinta, Mashruuca yareynta waraaqaha, Xafiiska Tignoolajiyada Macluumaadka, US. Waaxda Guriyeynta iyo Horumarinta Magaalooyinka, Washington, DC 20410-3600. Markaad bixinayso faallooyin, fadlan tixraac OMB Oggolaanshaha lambar 2529-0011. HUD lagama yaabo in ay qabato oo ay kafaala qaado, qofkana loogama baahna in uu ka jawaabo, xog ururinta ilaa ururinta ay muujiso nambar kontorool oo sax ah.

Xog ururintan waxa looga baahan yahay ururinta macluumaadka khuseeya dadka ama hay'adaha doonaya inay xareeyaan cabashooyinka takoorka guryeynta ee hoos yimaada Xeerka Guriyeynta Cadaalada ee 1968, sida isbedal lagu sameeyay. 42 U.S.C. ï¿½ 3601 iyo kuwa xiga. Macluumaadka waxaa loo isticmaali doonaa in lagu siiyo HUD macluumaad ku filan si loola xiriiro dadka dhiban oo loogu sheego jawaab-bixiyeyaasha; samee qiimaynaha ugu horeeya ee ku saabsan awooda HUD si ay u baarto eedaymaha takoorka guryaynta ee sharci darada ah; oo ay sameeyaan baaritaanno cabasho maamul. Ma jiraan wax dammaanad qaadis ah oo sir ah oo loo bixiyay ururinta macluumaadkan.

MACLUUMAADKA XIRIIRKA

Halkee laga soo diri karaa, iimaylka, ama fakis-ka foomka codsigaaga

Ku soo gudbi onlaynka www.hud.gov/fairhousing/fileacomplaint ama u soo dir foomka codsigaaga xafiiska gobolka FHEO ee u adeega gobolka ama meesha ay takoorku ka dhacay. Waanu eegi doonaa macluumaadkaaga oo aanu kula soo xiriiri doonaa sida ugu dhakhsaha badan.

Gobolka FHEO 1 (New England)
CT, ME, MA, NH, RI, VT
Boostada:
FHEO Region 1
Thomas P. O'Neill, Jr. Federal Building
10 Causeway St, Room 321
Boston, MA 02222
Iimayl: ComplaintsOffice01@hud.gov
Fakis: Wac (617) 994-8300 wixii gargaar ah

Gobolka FHEO 2 (NJ, NY, Caribbean)
NJ, NY, Puerto Rico, Virgin Islands
Boostada:
FHEO Region 2
U.S. Department of Housing and Urban Development
26 Federal Plaza, Room 3532
New York, NY 10278
Iimayl: ComplaintsOffice02@hud.gov
Fakis: Wac (212) 542-7519 wixii gargaar ah

Gobolka FHEO 3 (Mid-Atlantic)
DE, DC, MD, PA, VA, WV
Boostada:
FHEO Region 3
The Wanamaker Building
100 Penn Square East, 12th Floor
Philadelphia, PA 19107
Iimayl: ComplaintsOffice03@hud.gov
Fakis: Wac (215) 861-7646 wixii gargaar ah

Gobolka FHEO 4 (Southeast)
AL, FL, GA, KY, MS, NC, SC, TN
Boostada:
FHEO Region 4
77 Forsyth Street, SW
Atlanta, GA 30303
Iimayl: ComplaintsOffice04@hud.gov
Fakis: Wac (404) 331-5140 wixii gargaar ah

Gobolka FHEO 5 (Upper Midwest)
IL, IN, MI, MN, OH, WI
Boostada:
FHEO Region 5
Ralph H. Metcalfe Federal Building
77 West Jackson Boulevard, Rm. 2202
Chicago, IL 60604
Iimayl: ComplaintsOffice05@hud.gov
Fakis: Wac (312) 913-8453 wixii gargaar ah

Gobolka FHEO 6 (South/Southwest)
AR, LA, NM, OK, TX
Boostada:
FHEO Region 6
307 W. 7th Street
Suite 1000
Fort Worth, TX 76102
Iimayl: ComplaintsOffice06@hud.gov
Fakis: Wac (817) 978-5900 wixii gargaar ah

Gobolka FHEO 7 (Lower Midwest)
IA, KS, MO, NE
Boostada:
FHEO Region 7
Gateway Tower II
400 State Avenue, Room 200
Kansas City, KS 66101
Iimayl: ComplaintsOffice07@hud.gov
Fakis: Wac (913) 551-6958 wixii gargaar ah

Gobolka FHEO 8 (Mountain West)
CO, MT, ND, SD, UT, WY
Boostada:
FHEO Region 8
U.S. Department of Housing and Urban Development
1670 Broadway
Denver, CO 80202
Iimayl: ComplaintsOffice08@hud.gov
Fakis: Wac (303) 672-5437 wixii gargaar ah

Gobolka FHEO 9 (West/Territory Islands)
AZ, American Samoa, CA, Guam, HI, NV
Boostada:
FHEO Region 9
One Sansome St.
Suite 1200
San Francisco, CA 94104
Iimayl: ComplaintsOffice09@hud.gov
Fakis: Wac (415) 489-6524 wixii gargaar ah

Gobolka FHEO 10 (Northwest)
AK, ID, OR, WA
Boostada:
FHEO Region 10
Seattle Federal Office Building
900 First Avenue, Room 205
Seattle, WA 98104
Iimayl: ComplaintsOffice10@hud.gov
Fakis: Wac (206) 220-5170 wixii gargaar ah

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Cabashadaada takoorka guryeynta waxaa dib u eegi doona khabiir ku takhasusay guryeynta cadaaladda ah si uu u go'aamiyo haddii ay ku andacoonayso falalka laga yaabo in ay jabiyaan Xeerka Housing Fair. Khabiirka ayaa kula soo xidhiidhi doona wixii macluumaad dheeraad ah ee loo baahan yahay si loo dhamaystiro dib u eegistan. Haddii cabashadaadu ay ku lug leedahay ku xadgudubka suurtagalka ah ee Sharciga Guryeynta Caddaaladda, khabiirku wuxuu kaa caawin doonaa inaad xerayso cabashada takoorka guriyeynta ee rasmiga ah.

Xakamaynta OMB #: 2529-0011
Taariikhda uu dhacayo: 12/31/2023

v2.17.1