(Check all that apply) *
Eviction Due to Non-PaymentRental Payment Assistance
If your legal problem is not listed, please contact 313-967-5800.
First Name *
Last Name *
Date of Birth *
Phone (numbers only)
Secondary Phone (numbers only)
Email Address *
Name of Landlord/Property Management Company *
Landlord’s Contact Number *
Do you have a rental or lease agreement?
Is the rental or lease agreement in your name?
Have you received court documents for eviction?
Do you have an eviction court date scheduled?
If yes, when is (or was) the time and date for the hearing?