VA Form 26-8827: Housing Discrimination Complaint

VA Form 26-8827 is the U.S. Department of Veterans Affairs Housing Discrimination Complaint. It is a one-page form written to the person making the complaint. It asks for your name, address and phone numbers, who the complaint is against, a summary of what happened and why you believe you were discriminated against. VA's form page lists it under housing assistance.

Item 3 offers boxes for a builder, broker, lender, owner, salesperson, appraiser or other. Item 8 gives race, religion, national origin, sex, marital status, handicap, familial status, receipt of public assistance and other as examples. The form ends with a signature and date. Neither the form nor VA's page gives a mailing address or filing instructions. You can fill out the PDF free in your browser on this page and download the result without an account.

Top of page 1 of VA Form 26-8827: Housing Discrimination Complaint, as printed by VA

What's on VA Form 26-8827

Items 1 and 2: your details

Your name and address, with number and street or rural route, city or P.O., State and Zip Code, and your home and work telephone numbers with area codes.

Items 3 to 5: who it is against

A box for builder, broker, lender, owner, salesperson, appraiser or other, then the name, address and telephone number of the person checked in Item 3.

Items 6A and 6B: the company

Whether the individual was acting for a company and, if so, the company's name and address.

Item 7: summary of the complaint

A brief description of the person, event or action, including names, dates and places, continuing on the reverse if necessary.

Item 8: why you believe you were discriminated against

The form lists race, religion, national origin, sex, marital status, handicap, familial status, receipt of public assistance and other.

Items 9A and 9B: signature and date

Your signature and the date at the bottom of the page.

How to fill out VA Form 26-8827

1
Enter your details
Fill in your name, address and telephone numbers in Items 1 and 2.
2
Name who the complaint is against
Check a box in Item 3, then enter that person's name, address and telephone number in Items 4 and 5.
3
Add the company if there is one
Answer Item 6A. If the individual was acting for a company, give its name and address in Item 6B.
4
Describe what happened
Summarize the complaint in Item 7, continuing on the reverse if necessary, and say in Item 8 why you believe you were discriminated against.
5
Sign and date it
Sign in Item 9A and enter the date in Item 9B.

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Where to send it and edition

Where to send it

Neither the form nor VA's form page prints a mailing address, fax number or online submission method.

More space

The form is one page. Item 7 says the summary can continue on the reverse if necessary.

Edition

The form is dated JUL 2002 and says existing stock of VA Form 26-8827, FEB 1991, will be used. VA's page gives a form revision date of July 2002.

Who uses VA Form 26-8827?

The person making the complaint
Items 1, 2 and 9 ask for your name and address, your home and work telephone numbers and your signature.
Complaints about builders, owners or sellers
Item 3 has boxes for a builder, an owner, a broker and a salesperson.
Complaints about lenders or appraisers
Item 3 also has boxes for a lender and an appraiser, plus an Other box with space to specify.
Someone acting for a company
Item 6A asks whether the individual was acting for a company. If yes, Item 6B asks for the name and address of the company.

The form is written to the person making the complaint, and Item 3 lists who the complaint can be against.

Official sources and the blank

Official VA form page
The agency’s own page for Form 26-8827.
Blank PDF
The official blank form, to print or fill by hand.

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Questions about Form 26-8827

What is VA Form 26-8827?

It is VA's Housing Discrimination Complaint, a one-page form that asks who the complaint is against, a summary of what happened and why you believe you were discriminated against. VA's page lists it under housing assistance.

Who can the complaint name?

Item 3 has boxes for a builder, broker, lender, owner, salesperson, appraiser or other, with space to specify. Items 6A and 6B cover a company the individual was acting for.

What grounds does the form list?

Item 8 lists race, religion, national origin, sex, marital status, handicap, familial status, receipt of public assistance and other.

What if my summary does not fit in Item 7?

Item 7 says the description can continue on the reverse if necessary.

Where do I send VA Form 26-8827?

Neither the form nor VA's form page gives an address or filing method.

VA Form 26-8827: Housing Discrimination Complaint