9. The Pennsylvania Human Relations Commission has jurisdiction over this matter pursuant to
the Pennsylvania Human Relations Act, 43 P.S. §§ 951-963.
10. I/we pray that the Respondent(s) be required to provide all appropriate remedies under Section 9
of the Pennsylvania Human Relations Act.
11. If applicable, this Complaint will be dual-filed with the U.S. Department of Housing and
Urban Development (HUD), pursuant to the work-sharing agreement between the PHRC
and HUD. Based upon the foregoing, I/we allege that the Respondent(s) violated Title VIII
of the Civil Rights Act of 1968.
VERIFICATION
I hereby verify that the statements contained in this Complaint are true and correct to the best of my
knowledge, information and belief. I understand that false statements herein are made subject to the
penalties of 18 Pa.C.S.A. § 4904, relating to unsworn falsification to authorities.
_______________ ________________________________
Date Signature
________________________________
Printed Name
_______________ ________________________________
Date Signature
________________________________
Printed Name
WARNING: COMPLAINTS MUST BE SIGNED AND FILED WITHIN 180 DAYS OF THE
ALLEGED ACT OF HARM.
PHRC Housing Complaint, Rev. 9-2020
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