Attached, please find the Montgomery County Landlord-Tenant

Montgomery County Department of Housing and Community Affairs

Division of Housing/Office of Landlord-Tenant Affairs

1401 Rockville Pike, 4th Floor, Rockville, MD 20852

Telephone: 240-777-0311; TDD 711; FAX: 240-777-3691

Web: www.montgomerycountymd.gov/dhca

Email: olta.intake@montgomerycountymd.gov

Dear Tenant/Landlord (Complainant):

Attached, please find the Montgomery County Landlord-Tenant (OLTA) Complaint Form. This form is for

residential tenancies only. To help us better serve you, please follow these steps when completing the form:

1. Complete the form in its entirety by writing as legibly as possible and providing accurate information in

each part. Hereinafter, you will be referred to as the Complainant and the other party as the Respondent.

• When providing the names of the Tenant(s), all leaseholders must be listed.

• When providing the name of the Landlord(s), make sure to include the Landlord’s full name as well as the

Property Manager and Community name (if applicable).

• Please provide a detailed, but concise, description of the complaint and attach additional pages, if

necessary.

• Please be advised that complaints filed with OLTA become a matter of public record.

2. Please provide any applicable supporting documentation to illustrate the allegations in your Complaint

along with the Complaint Form. Such documents may include, but are not limited to, the following:

• Lease agreement (including all addenda and renewals),

• Notices and Correspondence between the Complainant and the Respondent,

• Any related notices or court filing(s),

• Work orders and/or receipts for repairs, and

• Photographs, videos, or any other documentation in support of the Complaint.

3. Send a copy of the completed Complaint Form and Respondent letter (page 3) to the Respondent to put

the Respondent on notice and provide an opportunity for parties to resolve the dispute while the case is

being processed with OLTA.

4. If you have questions regarding this process, please contact the Office via:

• MC311 by phone at 240-777-0311 (outside of the County) or 311 (within the County)

• Email at [email protected].

5. After OLTA receives and processes your completed complaint form and supporting documents, you will be

notified in writing of the case number and contact information for the Investigator assigned to your case.

Please keep a copy of that correspondence for your records. Once the case is assigned, we ask that you

discontinue correspondence with MC311 and OLTA Intake regarding this matter and, instead, contact the

Investigator directly.

Please note that there is an abundance of easily accessible and helpful information

available 24/7 on our webpage that may assist you in resolving the matter.

Visit us at www.montgomerycountymd.gov/dhca.

Complainant Letter

Montgomery County Department of Housing and Community Affairs

Division of Housing/Office of Landlord-Tenant Affairs

1401 Rockville Pike, 4th Floor, Rockville, MD 20852

Telephone: 240-777-0311; TDD 711; FAX: 240-777-3691

Web: www.montgomerycountymd.gov/dhca

Email: olta.intake@montgomerycountymd.gov

LANDLORD-TENANT COMPLAINT FORM

PART I: Person(s) Filing the Complaint (Complainant)

Check one □ Landlord □ Tenant

____________________________________________ _______

First Name Last Name Pronoun

____________________________________________ _______

First Name Last Name Pronoun

____________________________________________________

Address

____________________________________________________

City State Zip Code

________________________ _________________________

Daytime Phone Evening Phone

___________________________________________

Email Address

PART II: Person(s) Complaint is Against (Respondent)

Check one □ Landlord □ Tenant

_____________________________________________________

First Name Last Name

_____________________________________________________

First Name Last Name

_____________________________________________________

Address

_____________________________________________________

City State Zip Code

_________________________ _________________________

Daytime Phone Evening Phone

____________________________________________

Email Address

PART III: Rental Property (Address of rental unit involved in the dispute.)

____________________________________________________________________________

Address Unit #

____________________________________________________________________________

City State Zip Code

PART IV: Property Type Check One

□ Single Family (House/Townhouse)

□ Multi-family (Apartment/Condo/ADU)

______________________________________________________

Name of Complex/Community (If applicable)

PART V: Complaint

1. The issue involves (check one or more): □ Security Deposit □ Lease □ Notice to Vacate □ Condition of Property □ Other

2. State specific complaint. Attach additional pages if necessary. ______________________________________________________

___________________________________________________________________________________________________________

3. State what action(s) will resolve your complaint. _________________________________________________________________

___________________________________________________________________________________________________________

PART VI: Have you filed any other complaint related to this matter? (Check all that apply.) □ No □ Landlord-Tenant Affairs

□ Code Enforcement □ District Court □ State Attorney General □ Fair Housing/Human Rights □ Other ___________________

PART VII: Have you notified the other party of your complaint? □ No □ Yes When? __________________________

PART VIII: I hereby certify that the statements made on this form and in the attached documents are true and complete to the best

of my knowledge, information, and belief, and will become a matter of Public Record. (All Complainants must sign this complaint form.)

Signatures ________________________________________________________ Date_____________________________________

________________________________________________________ Date_____________________________________

Montgomery County Department of Housing and Community Affairs

Division of Housing/Office of Landlord-Tenant Affairs

1401 Rockville Pike, 4th Floor, Rockville, MD 20852

Telephone: 240-777-0311; TDD 711; FAX: 240-777-3691

Web: www.montgomerycountymd.gov/dhca

Email: olta.intake@montgomerycountymd.gov

Dear Landlord/Tenant (Respondent):

If you receive this form from your tenant/landlord, it means a complaint may soon be, or has already been,

filed against you with the Office of Landlord-Tenant Affairs (OLTA) in reference to a rental property in

Montgomery County, Maryland. Hereinafter, you will be referred to as the Respondent and the other party as

the Complainant. Complainants have been instructed to give Respondents a copy of the complaint form and

allow at least seven (7) days for a direct response from you in an effort to resolve the matter before it has

been fully processed by our office.

Please respond to the Complainant within seven (7) days of your receipt of this form. If your response

does not resolve the complaint, or if you choose not to respond directly to the Complainant, they then have

the option of continuing with OLTA for investigation of the complaint. Please be advised that complaints filed

with OLTA become a matter of public record.

After OLTA receives and processes the complaint, the Complainant will be contacted. Subsequently, you

will be contacted and provided with the case number, the Investigator’s contact information and a request for

information.

If you have general questions regarding the process or if you would like more information about OLTA,

please contact us via:

Phone - 240-777-0311 (outside Montgomery County) or 311 (within Montgomery County)

Email - [email protected].

Alternatively, you may visit our website at www.montgomerycountymd.gov/dhca where you can review

the process and retrieve additional information.

When contacting OLTA specifically regarding the complaint, please be sure to indicate the Complainant’s

name and the address of the rental property associated with the complaint on any correspondence, as well as

the case number, once assigned. Our staff is generally available to assist from 8:30 am to 5:00 pm Monday

through Friday, excluding holidays. Once the case is assigned, we ask that you discontinue correspondence

with MC311 and OLTA Intake regarding this matter and, instead, contact the Investigator directly.

If the complaint is filed, you may complete this information and keep this page for your reference.

Complaint Number (5 digits):

Assigned Investigator:

Phone: (240) 777-

Email address: . @montgomerycountymd.gov

Please note that there is an abundance of easily accessible and helpful information

available 24/7 on our webpage that may assist you in resolving the matter.

Visit us at www.montgomerycountymd.gov/dhca.

Respondent Letter