Housing Intake

Please provide the following basic information about yourself and the legal problem that you are seeking Legal Aid's help with. * incdicates a required field.





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By applying for legal assistance online you are agreeing to be contacted by all methods. If you prefer not to be contacted by these methods please call the intake line at 202-628-1161 option 2.



Please provide the additional information below describing your legal matter. If we are unable to provide you with legal representation on this matter for any reason, the information in this section will be deleted from our system.


Household Income Information
Legal Aid generally serves individuals whose household income is at or below 200% of the Federal Poverty Guidelines. For some types of cases, we may serve individuals whose household income is between 200% and 300% of the Federal Poverty Guidelines. Please provide the following basic information about your household income so that we can determine whether you are eligible for our services. If we are unable to assist you for any reason, this information in this section will be deleted from our system.


Type of Income
Amount
Frequency

Type of Income
Amount
Frequency

Type of Income
Amount
Frequency

Type of Income
Amount
Frequency

Type of Income
Amount
Frequency

Landlord suing/accusing me of not paying rentLandlord suing/accusing me of violating leaseLandlord not making necessary repairs to my homeProblems with D.C. Housing Authority

NOTE: If you do not see your housing problem listed here, then please call Legal Aid’s Intake Unit at 202.628.1161 for more information.

Landlord suing/accusing me of not paying rent

1. Do you live in subsidized housing (housing where the government pays for part or all of your rent)? YesNo

2. Has your landlord sued you for not paying rent? YesNo

a. When is the next court date?
b. Is this your first court date? YesNo

3. Is there a written lease? YesNo

Please upload , e-mail (to onlineintake@legalaiddc.org) or fax to 202.727.2132 (Attn: Online Intake)

4. Do you believe you owe your landlord rent? YesNo

a. How much rent do you believe you owe?
b. Did you withhold the rent intentionally? If so, why?

5. Are there any repairs that need to be made in your home? YesNo

a. When did the problems in your home begin?
b. Do you have any proof of these problems (in the form of pictures or video)? YesNo
c. Did you tell your landlord about the problems? YesNo

i. Around when did you tell your landlord about them?
ii. In writing or in person?

d. Have any repairs been made? YesNo

i. Were the repairs made by you or the landlord, and around when did the repairs happen?

e. Did you ever call a housing inspector about the problems? YesNo

i. Around when and what was the result? Do you have a copy of the inspection report?

f. Does the landlord have a key to your home? YesNo
g. Has there ever been a time when the landlord came to make repairs and you would not let him/her in? If so, why?

6. Do you think your landlord is retaliating against you for any reason? YesNo

7. Do you have receipts or canceled checks proving payment of rent? YesNo

8. Do currently have the money to pay the unpaid rent? YesNo

a. Can you get the money from somewhere? YesNo

9. Is there anything else we should know about your case?

**If tenant checked off this is their first date, automatically generate “What to do on your court date” sheet and LTRC flyer?**

Landlord suing/accusing me of violating lease

1. Do you live in subsidized housing (housing where the government pays for part or all of your rent)? YesNo
2. Has your landlord sued you for not paying rent? YesNo

a. When is the next court date?
a. Is this your first court date? YesNo

3. What lease violations are your landlord alleging against you?

4. Are any of the allegations are true? YesNo

a. Which ones?

b. Have you fixed the problem? When and how?

5. Are drugs or criminal activity involved in the landlord’s allegations against you? YesNo

a. What happened, from your point of view?

b. Do you have a criminal case too? YesNo

i. May we contact your criminal defense attorney about your case?
 If so, please include their name and phone # in case we decide to do this.

6. Do you think your landlord retaliating against you for any reason? YesNo

7. Is there anything else we should know about your case?

Landlord not making necessary repairs to my home
Note: if you already gave us the following information in another section of the application, then no need to repeat

a. When did the problems in your home begin?

b. Do you have any proof of these problems (in the form of pictures or video)? YesNo

c. Did you tell your landlord about the problems? YesNo

i. Around when did you tell your landlord about them?
ii. In writing or in person?

d. Have any repairs been made? YesNo

i. Were the repairs made by you or the landlord, and around when did the repairs happen?

e. Did you ever call a housing inspector about the problems? YesNo

i. Around when did the inspector come out and what was the result? Do you have a copy of the inspection report?

f. Does the landlord have a key to your home? YesNo

g. Has there ever been a time when the landlord came to make repairs and you would not let him/her in? If so, why?

h. Have you sued your landlord in Housing Conditions Court for these problems? YesNo

Has the housing inspector come out yet? YesNo

Please upload , e-mail (to XXX@legalaiddc.org) or fax inspection report to 202.727.2132 (Attn: Online Intake)

When is the next court date?

Is there anything else we should know about your case?

Problems with D.C. Housing Authority

1. What problems are you having with the DC Housing Authority?

2. Have you attempted to try to resolve the problem on your own? YesNo

Please describe what steps you have taken, including details on any conversations or meetings with the DC Housing Authority.

3. Have you had a hearing on this issue already or have you requested one? YesNo

If you have already had the hearing, please describe when and what happened.

4. Has the DC Housing Authority sued you for eviction? YesNo

a. Are they trying to evict you for violating your lease? YesNo
b. Are they trying to evict you for violating your lease? YesNo

IMPORTANT DOCUMENTS IN HOUSING CASES
If you have any of the following documents, please upload, e-mail (to onlineintake@legalaiddc.org) or fax them to 202.727.2132 (Attn: Online Intake)

A. Lease
B. Notice to Quit
C. Complaint and Summons
D. Other court papers
E. Correspondence with landlord, DC Housing Authority, Office of Administrative Hearings
F. Rent receipts
G. Photographs of housing code violations
H. Inspection Reports (DCRA or DCHA)
I. Criminal case paperwork