Informal Review Request form

Housing and Community Development (HCD)

Informal Review Request
Applicant Leasing Center
Waiting List Program: Public Housing
1401 NW 7 Street
Miami, FL 33125
Telephone: 786-469-4300
Facsimile: 305-643-8501
TDD: 305-643-3377
Florida Relay Service: 1-800-955-8771
Contract Administration Division, Intake Unit

Waiting List Programs: Section 8 Housing Choice

Voucher and Section 8 Moderate Rehabilitation

701 NW 1 Court, 14th Floor

Miami, FL 33136-3914

Telephone: 786-469-4237

Facsimile: 786-469-4222

Florida Relay Service: 1-800-955-8771
Si usted necesita ayuda con esta carta, por favor póngase en contacto con el número de teléfono indicado arriba.

Si ou bezwen asistans avèk lèt sa a, tanpri kontakte nimewo telefòn ki endike anwo a.
Public Housing and Community Development

Applicant’s Informal Review Request

Complete and return this Informal Review Request by mail to the above address or above facsimile within 30 days from the date on your Notice of Waiting List Withdrawal. You will be notified in writing of date, time, and location of the informal review once scheduled.
Name of Head of Household:

First NameLast Name
Entity #:
Waiting List Program:
YesNo
Date of Notice:

MonthDayYear
Date
Reason for Withdrawl:
YesNo
Current Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Telephone #:
Please enter a valid phone number.Format: (000) 000-0000.
Alternate/Cellular #:
Please enter a valid phone number.Format: (000) 000-0000.
Your Signature:

Clear
Date

MonthDayYear
Date
The informal review hearing is held in a wheelchair accessible facility. If you need an English or sign language interpreter, materials in accessible format, or any other service required by a disabled person to assist with any aspect of the informal review process, please call the ADA Coordinator at 786-469-2155 or via Florida Relay Service at 1-800-955-8771, at least seven days (7) days before the scheduled date of the informal review.
This material is available in an accessible format upon request to ada.coordinator@miamidade.gov
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Housing and Community Development (HCD)