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Manufactured Housing Dispute Resolution Program
Request for Dispute Resolution Form
 
* Required fields
* The person filing this complaint is the:
For our statistics, please select your age group:(optional)
Landlord Information
*Park/Community Name:
Name of Owner / Manager:
 
Address:
City:
State:
Zip:
Day Phone:  
()  -
Cell Phone:  
()  -
E-Mail Address:
Is there a signed lease?
Date lease was signed:
Homeowner Information
*Last Name:
*First Name:
Middle Name:
*Address:
*City:
*State:
*Zip: 
*Day Phone:  
()  -
Cell Phone:  
()  -
E-Mail Address:  
About Your Issue
*PLEASE READ: In order to process your complaint, the Attorney General’s Office will send a copy of your request for dispute resolution to the other party. May the Attorney General’s Office forward this other party a copy of your request? I understand if I answer No, the Attorney General's Office will not process this request.



I understand my complaint and any related documents I have submitted will become public record. Under state law, public records are subject to public records disclosure requests. Under some circumstances, my complaint and related documents may be seen by other people. Please keep this in mind when giving us personal information such as Social Security, credit and bank account numbers, and medical information.
*Please explain your issue in detail and what outcome you would like to have:  This space will accept up to 7000 characters (will turn yellow if exceeded)
Have you attempted to resolve this issue directly with the other party?
Have you filed a complaint with the Attorney General's Office before?
If Yes, what was the complaint number:
Have you contacted an attorney?
If yes, what is the attorney's name and contact information?
Is there a court or other legal proceeding pending?
If yes, please explain:
File attachments

You may upload up to 5 files with a total file size limit of 25 megabytes.
Accepted Document Types: TXT, DOC, DOCX, XLS, XLSX, PDF
Accepted Image Types: JPG, TIF, TIFF

Upload Attachments:
Notices and signature
Declaration: I understand that by submitting this complaint to the Washington State Attorney General's Office my complaint and any response from the business and all communications with Attorney General's Office will become public records under state law. Public records are subject to public records disclosure requests and as a public record, my complaint and all related documents may be seen by other people.

I declare, under penalty of perjury under the laws of the State of Washington, that the information contained in this complaint is true and accurate, and that any documents attached are true and accurate copies of the originals.

I understand that the Washington State Attorney General's Office will contact the party(ies) against which I have filed a complaint in an effort to reach an amicable resolution. I authorize the party(ies) against which I have filed a complaint to communicate with and provide information related to my complaint to the Washington State Attorney General's Office.
*Name:
*Declared this date:

 
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