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Get Informal Hearing Request

___ am requesting an Informal Hearing. Reason given for my proposed termination or termination: _____ Tenant caused damages: Address where said damage(s) occurred: _________________________________________________________ _____ Owes money to this or another Housing Authority. _____ Failed to reimburse this, or another Housing Authority. _____ Failed to abide by the terms of a repayment agreement. _____ Failed to maintain utility service(s) at the following address: ____________________________.

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