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Submit a Housing Discrimination Questionnaire

Complete this form in its entirety to detail housing discrimination based on race, color, religion, sex, national origin, disability, familial status or sexual orientation. Learn more about fair housing discrimination from the аÄÃÅÁùºÏ²Ê Office of Human Rights. Note: This form is affected by the Privacy Act of 1974.

Jeffery Lorick, Fair Housing Coordinator, jlorick@pinellas.gov