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Intake Form


If you would like to apply for advice or advocacy from the Fair Housing Center of Greater Boston please complete the following intake form.  Please be aware that:
  • Submitting this intake form does NOT establish an attorney-client relationship between you and the Fair Housing Center of Greater Boston.
  • You must accurately enter your phone number, provide specific names, and any links or information to advertisements for housing and/or property addresses regarding your complaint, which will to allow us to follow up with you in a timely manner.
If you have any questions, or prefer to submit an intake in person or by phone, feel free to contact .our office at 617-399-0491.



Client Information











Yes No
If yes, please indicate the type of subsidy and the agency that administers your subsidy:


Disability? Yes No

Personal Information







Household Information


Complaint*: Please provide a brief description of the discriminatory incident below. We ask that you be as specific as possible, and include any names, links to advertisements for housing and/or property addresses that have to do with your complaint.