Request a Meeting Tenant/Applicant Name(Required)PhoneAddress(Required)Address 2Email (optional)In accordance with the grievance policy for Bangor Housing, I am requesting an informal meeting or formal hearing for the following reason (check one):(Required) Denial of Pre-Application Nonpayment of Rent Lease Violation (eviction) Termination of Subsidy (Section 8 participant only) Denial of Portability (Section 8 participant only) Denial of Reasonable Accommodation request Denial of request to add a family member Denial of request to add a full-time live-in aide Pet/Animal policy violation Remaining member of family Denial of transfer request PHA is requiring me to transfer Disagreement with maintenance charges Other Describe BrieflyAn informal meeting was held with a Bangor Housing representative.I want to appeal / dispute the decision made as a result of that meeting. Yes Date of Meeting MM slash DD slash YYYY You must specify at least two dates and time ranges, within the next 14 calendar days, when you can attend an informal meeting or formal hearing:Date(Required) MM slash DD slash YYYY Time Range(Required)Choose time range9am – 11am1:30pm – 3:30pmDate(Required) MM slash DD slash YYYY Time Range(Required)Choose time range9am – 11am1:30pm – 3:30pmDate MM slash DD slash YYYY Time RangeChoose time range9am – 11am1:30pm – 3:30pm I understand an appointment letter will be mailed to me with the date and time of my meeting or hearing appointmentTenant Signature(Required)
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