Incident Report

Name: Lafayette Housing Authority
Address: 115 Kattie Drive,, Lafayette, LA, 70501, US
Telephone: (337) 233-1327

The following are LHA’s incident policies and notices:

Please use the form below to report any incidents of fraud or harassment. You may choose to leave your contact information or remain anonymous. You may also contact LHA Administrative office at (337) 233-1327 Ext 170 to make a formal complaint.

Step 1 of 4 - Your information

Do you wish to remain anonymous?(Required)

Yes, I would like to remain anonymous.

No, I would like to provide my name & contact information below.

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Email(Required)

Phone(Required)

Who are you reporting?

Name(Required)

First Last

Address

Street Address Address Line 2 City State ZIP Code

Phone

Physical Description(Required)

Complaint Type(Required)

Date when the Incident Occurred(Required)

Time when the Incident Occurred(Required)

Complaint Details(Required)

Reported to Police

Yes, this incident was reported to police.

No, this incident was not reported to police.

Address of Incident

Street Address Address Line 2 City State ZIP Code

Incident Report

Incident Report

Who are you reporting?

We are an Equal Housing Opportunity Provider.

Disclaimer