The Official Website of the Attorney General of Massachusetts

Martha Coakley, Attorney General

HomeCorps Request for Assistance Form


Office of the Attorney General
HomeCorps
One Ashburton Place
Boston, MA 02108

If your request is urgent or you need assistance filling out this form, please call the HomeCorps hotline at 617-573-5333,
or 617-727-4765 for TTY assistance. Please note that all fields are required unless otherwise noted.

Your Contact Information:


  
  
  
  

(Example: 123-456-7890)
  

(Example: 123-456-7890)
  
  
  
  
  

 Yes  No
 

 
 I want help trying to obtain a loan modification.

 I want help trying to stop a scheduled foreclosure.

 


 I want help trying to stop an eviction.




 My home was foreclosed upon and I want help and information.

 I am unsure as to what stage of the process I am in.



Mortgage Information:


 
If "Other", please specify:
 
 
 
 
(Example: 123-456-7890)
 

(Note: 500 characters maximum; 0 characters entered, 500 characters remaining.)
 

Household Information:


 Yes  No
 

 

 
 Yes  No
 
 Yes  No
 
 Yes  No
 
 Yes  No

Please answer the following questions:


 Yes  No
If yes:
 
 Yes  No

 Yes  No

 Yes  No
 Yes  No
 
 Yes  No

 

(Note: 1000 characters maximum; 0 characters entered, 1000 characters remaining.)

Instructions:


DO NOT SEND ORIGINALS. Your documents will NOT be returned to you. Please retain a copy for your records and send us photocopies or an electronic scan of any documentation you think may be helpful in resolving your matter.

Please do NOT include financial account numbers, credit or debit card numbers, your social security number, etc., or other sensitive personal information. We will contact you if we need any of this information.

Read the Following Before Signing Below:


I. Disclosure of Your Complaint.
Public Record. Under most circumstances, your request for assistance and any documents submitted with your request will be considered a public record and available to any member of the public upon request. In response to such a request, we generally will not disclose your name, address, phone number, or any other information that identifies you and will not disclose this form in response to any request that specifically seeks the request for assistance you submitted.
 
Disclosure to the Mortgage Servicer and Other Related Entities. In order to resolve your request for assistance we may release any and all information with regard to this request, including the form itself, to the Mortgage Servicer you are contacting us about and/or the Mortgagee or the Creditor (as that term is defined in Massachusetts General Laws chapter 244, sections 35A and 35B).
 
Disclosure to Other Entities. Your request for assistance and any related information may be disclosed in its entirety to other law enforcement and regulatory agencies.
 
HomeCorps Referrals: The Attorney General's Office may conclude that you may benefit from a referral to (1) a Legal Services Attorney and/or (2) a provider of housing or other stabilization services, available at no cost through the HomeCorps Borrower Representation Initiative and/or Borrower Recovery Initiative. To facilitate a possible referral, the AGO may share with entities affiliated with the Borrower Representation Initiative or the Borrower Recovery Initiative, any and all information you provide to the Office in relation to your HomeCorps request for assistance, including information of a personal or confidential nature.
 
II. Consulting With a Private Attorney.
The AGO cannot give you legal advice and is not able to be your private attorney, but represents the public interest. If you have any questions concerning your individual legal rights or responsibilities you should contact a private attorney.
 
 
By filling in my name above and checking this box, I acknowledge that I have read and understood the provisions above and certify that the information I have provided is true and correct to the best of my knowledge, and I adopt this as my online signature.