Customer Feedback Form

This form is only for current residents and customers receiving services from EBALDC. Prospects interested in applying for housing should visit http://ebaldc.org/how-to-apply/ or call the Main Office at (510) 287-5353 for more details.

Customer Info

Do you live at an EBALDC Property?

YesNo

EBALDC Property

Building/Street Address

Unit Number

Unit Number (LCC)

First Name

Last Name

Preferred Contact Method

Email Address

Phone Number

Address

City

State

Postal Code

Feedback Details

Does this feedback involve any of the following EBALDC services/programs?

Property Management Issue

Which EBALDC Property is this issue related to?

Priority

What would you like us to know?

Attachment

Include original completed paper form if available.

Contact Information