Third-Party Authorization Form

NOTE: Once downloaded, fill out and email to: help@housingisyourright.org

Documents Needed

Name(Required)

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Email(Required)

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Phone(Required)

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Tell Us What You Think the Problem Is(Required)

Distressed Property Address(Required)

Street Address Address Line 2 City State ZIP Code

Mailing Address

Street Address Address Line 2 City State ZIP Code

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Our Mission

To provide resources ensuring housing stability for those affected by the housing crisis ultimately improving mental, physical, and emotional health throughout marginalized communities.

Housing Is Your Right Tax ID# 88-3965405

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PHONE:
833-4-HOUSED

EMAIL:
help@housingisyourright.org

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Third-Party Authorization Form

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