HOUSING AUTHORITY OF DEKALB COUNTY

Fraud Activity Report
You are not required to fill out all fields, only those items known.

Complainant Contact Information

First Name Last Name Phone

Email Street Address

City State Zipcode
Location of Fraud Activity

Neighborhood Street Address

City State Zipcode

Incident Information

Landlord Name

Street Address

City State Zipcode

Participant Names Neighborhood
   

Explanation of Incident: