Thank you for contacting us!

Thank you for your interest in setting up an appointment. We look forward to learning more about your current situation. Please complete the form so that we can be prepared to talk about your conflict and possible solutions. We will contact you after submitting this form.

If you just have a question about our services, please click here instead: DRC Ask a Question.
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Choose type of dispute or conflict you are having:

Description of Dispute or Situation

Contact Information

Thank you for continuing! This section is for your contact information, and if a business or organization is involved in the dispute, we will ask for that information as well.
Your information is kept secure, and is private. The spaces marked * are required, and the other spaces are optional. Please provide the required information to the best of your ability

Your First Name	Your Last Name
Email Address	Personal or Direct Telephone Number

Address

Unit number

City

State

Zip Code

Is there anything specific we need to know about contacting you; i.e. don't leave a message, call in the morning/afternoon, anything else?

If Seattle Housing Authority (SHA), what is the building name?

Business Information

Business Name, Property Owner or Management Company

Business website address

Main Business Telephone Number

Additional person in the business

Additional Email Address (if applicable)

By checking this box, you are agreeing to receive information by text message/SMS from the Dispute Resolution Center of King County (KCDRC). You are agreeing to receive text message information related to your request for service from KCDRC. The frequency of messages may vary. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. Text HELP for help or reach out to us at 206-443-9603 or drcinfo@kcdrc.org. Reply STOP to unsubscribe.

Thank you for filling out this information! On the next page, we will ask for you to provide what information you can about the other party in the dispute. Review our privacy policy here.

The other party in the dispute

Other Party First Name

Other Party Last Name

Other Party Phone Number

Other Party Email Address

Other Party's Business Name, if Applicable

Other Party's Street Address

Other Party's City

Other Party's State

Other Party's Zip Code

Please let us know anything else about the other party that might be helpful (Optional):

Have you contacted the other party about using us for dispute resolution?

Your Demographic Information

The agencies and organizations that provide funding for this Dispute Resolution Center of King County, as well as our internal review, would like to ask you a few questions about yourself. This information helps to ensure that we are serving all of the communities in King County, and helps us to target our Community Outreach. Thank you for participating!

All questions following have the option for you to "Prefer Not to Say".

Year of your birth:

* Please enter 0000 if you prefer not to answer.

Race (You may select one or more)

Do you identify as Hispanic or Latino/a/x?

YesNoPrefer not to say

If your race is not listed, please specify here.

Preferred Language

Please specify other language

Are you an immigrant or refugee?

How would you describe your gender:	If gender is self-described, how would you describe yourself?
How would you describe your sexuality?	If sexuality is self-described, how would you describe yourself?
What is your current marital status?

What is your employment status?

If employment is self-described, please specify:

What is your occupation?

If occupation is self-described, please specify:

What is your education level?

Almost done!

Your Household Information

Are you or is anyone in your household a Veteran?

Have you or anyone in your household ever been incarcerated?
(Please note: We ask these questions to ensure that we are providing services to all King County residents impartially. We do not use this information to evaluate suitability of a case and all Individual data is kept confidential.)

What is the status of your living arrangements?

Number of adults in the household

Number of children in the household

How many people are supported by the annual household income?

Our income ranges are based on the Seattle AMI, or Area Median Income. AMI is a key metric in affordable housing. Area Median Income is defined as the midpoint of a specific area’s income distribution and is calculated on an annual basis by the Department of Housing and Urban Development.

Household total income range

Income of household with 9 or more people

Thank you!

How did you hear about the DRC and our services?

Thank you for contacting the King County Dispute Resolution Center. We strive to respond to requests for service within 3 business days. We look forward to working with you!

Rental Housing or Landlord/Tenant	Neighbor or Community
Workplace	Small Claims Court
Family or Parenting	Foreclosure
Youth Development and Peer Mediation for Schools