Intake Form

If you would like to apply for legal advice and/or representation from the Massachusetts Fair Housing Center, you can complete the following intake form.  Please be aware that:  

  • Submitting this intake form does NOT establish an attorney-client relationship between you and MFHC.
  • We will do our best to follow up on your intake within 48 hours. 
  • You must accurately enter your phone number to allow us to follow up with you in a timely manner.

If you have any questions, or prefer to submit an intake by phone, feel free to contact our office.

Contact Information
Ex: 123-456-7890
Ex: 123-456-7890
Personal Information
Household Information

For grant reporting purposes

Referral Information

Please provide a brief description of the discriminatory incident below.

New Website Coming in Late Fall 2018