Carson City Office
1830 E College Pkwy, Ste. 200
Carson City, NV 89706
(775) 687-2240 Fax: (775) 687-4040
Toll Free: 1-800-227-4960 		Nevada Housing Division Las Vegas Office
3300 W. Sahara Ave, Ste. 300
Las Vegas, NV 89102
(702) 486-7220 Fax: (775) 687-4040
Toll Free: 1-888-486-8775
COMPLAINT FORM
 
PERSONAL INFORMATION:
 
* Required
DATE:   2024-11-22
*FIRST NAME:  
*LAST NAME:  
ADDRESS1:  
ADDRESS2:  
CITY:  
STATE:  
ZIP CODE:  
*EMAIL:  
HOME PHONE:  
*CELL PHONE:  
WORK PHONE:  
 
COMPLAINT INFORMATION:
 
*REFERENCE:  
BUSINESS NAME:  
FIRST NAME:  
LAST NAME:  
ADDRESS1:  
ADDRESS2:  
CITY:  
STATE:  
ZIP CODE:  
EMAIL:  
HOME PHONE:  
CELL PHONE:  
WORK PHONE:  
INCIDENT DATE:  
*REASON:  
2000
SOLUTION:  
2000
   
UPLOAD FILE:  
  ***Use .zip to bundle multiple files into one file.
   
   
   
State of Nevada, Department of Business & Industry, Housing Division