The Miscellaneous Clean/Board Bill Dispute Form is issued by the Baltimore City Department of Housing & Community Development (DHCD). Property owners use it to ask for a review of a miscellaneous clean/board bill by choosing a reason for the dispute and attaching the original bill. It is one of the Baltimore city forms handled by the DHCD lien review office. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the form is published by the City of Baltimore at the official URL below.
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What is Miscellaneous Clean/Board Bill Dispute Form – Baltimore, MD?
The Miscellaneous Clean/Board Bill Dispute Form is the Baltimore City Department of Housing & Community Development (DHCD) form on which a property owner asks for a review of a miscellaneous clean/board bill, states the reason for the dispute and attaches the original bill.
The PDF itself is headed MISCELLANEOUS CLEAN/BOARD REVIEW FORM. It collects the owner's name, mailing address, property address and phone number. It then offers five reasons to choose from: wrong property cleaned or boarded; no violation notice issued before DPW completed the work; violation abated by the customer before DPW arrived; the applicant did not own the property when the work was completed; or another reason written in on the form.
The form also asks how you want to receive the response: regular mail, email or fax. Only one may be checked. You sign and date it, then send it to DHCD together with the bill or bills. The form states that lien reviews may take up to 5-7 business days, not counting holidays or weekends.
The form is a request for review. It does not pay a bill and it does not state how a review will be decided.
Who needs to file Miscellaneous Clean/Board Bill Dispute Form – Baltimore, MD?
Property owners who have received a miscellaneous clean/board bill in Baltimore and want it reviewed use this form. The form is addressed to the owner: it asks for the owner name, the owner's mailing address and the property address.
The form lists the grounds it covers, and your dispute should match one of them:
- the wrong property was cleaned or boarded;
- no violation notice was issued before DPW completed the work;
- you abated the violation before DPW arrived;
- you did not own the property when the work was completed;
- another reason, which you write in on the "Other" line.
The form does not say that anyone other than the owner may sign it, and it has no representative block. Contact DHCD at 443-984-5757, the number printed on the form, if you are unsure whether a different person may submit it for you.
When to file Miscellaneous Clean/Board Bill Dispute Form – Baltimore, MD
Submit the form after you receive a miscellaneous clean/board bill that you dispute for one of the reasons printed on the form. No filing deadline is printed on it.
The original bill must go with the request, so keep the bill until you submit. DHCD states that processing time for lien reviews may take up to 5-7 business days, not including holidays or weekends. Choose your response method on the form (regular mail, email or fax) so that DHCD knows how to reply.
Documents you need
- The original Misc clean/Board bill, which the form says must be attached to the request. Send the bill or bills together with the form.
- A copy of the bill, if you no longer have one: obtain it from the Misc billing Department at (410) 396-3000 or at 200 Holliday Street, Counter #2, before you submit.
How to fill out Miscellaneous Clean/Board Bill Dispute Form – Baltimore, MD
Enter the owner name
Write the owner's name on the Owner Name line at the top of the form.
Enter your mailing address
Write the address where you receive mail on the Mailing Address line.
Enter the property address
Write the address of the property named on the bill on the Property Address line.
Add a phone number
Enter a phone number on the Phone Number line so the office can reach you.
Select the reason for the dispute
Under Reason, check the box that fits: Wrong Property Cleaned/Boarded; No Violation Notice Issued Prior to DPW Completed Work; Violation Abated by Customer Prior to DPW Arrival; or Did Not Own Property When Work Was Completed.
Describe any other reason
If none of the listed reasons applies, check Other and write your reason on the line provided.
Choose a response preference
Check only one: Regular Mail, Email (with your email address) or Fax (with your fax number).
Sign and date the form
Sign on the Signature line and enter the date next to it.
Gather the original bill
Have the original Misc clean/Board bill ready to go with the form. If you do not have a copy, call (410) 396-3000 or go to 200 Holliday Street, Counter #2.
Review and download the PDF
Check that every entry is correct and that only one response preference is marked, then download or print the completed PDF from FillingPDF and submit it with the bill as described under How to submit.
How to submit Miscellaneous Clean/Board Bill Dispute Form – Baltimore, MD
You can send the signed form and the bill by email, regular mail or fax to DHCD.
- Email: send the form and the bill or bills to the office administrator's email box, [email protected].
- Regular mail: 417 E. Fayette Street, Room 128, Baltimore, MD 21202.
- Fax: (410) 396-3626.
Submit both the form and the bill or bills. On the form, check only one response preference (Regular Mail, Email with an email address, or Fax with a fax number), then sign and date it. If you do not have a copy of the bill, call the Misc billing Department at (410) 396-3000 or go to 200 Holliday Street, Counter #2, to get one. The form also lists the DHCD phone number 443-984-5757. FillingPDF lets you fill out and download the PDF; submission follows the channels above.
Common mistakes to avoid
- Sending the form without the original Misc clean/Board bill attached; the form states the bill must accompany the request.
- Checking more than one response preference. The form says to check only one: Regular Mail, Email or Fax.
- Choosing Email or Fax but leaving the email address or fax number blank.
- Submitting the form without signing and dating it.
- Selecting a reason that does not match your situation, or choosing Other without writing the reason on the line.
- Mailing the form to the wrong place instead of 417 E. Fayette Street, Room 128, Baltimore, MD 21202, or the email and fax numbers printed on it.
- Leaving out the property address, which identifies the property the bill covers.
Frequently asked questions
What is the Miscellaneous Clean/Board Bill Dispute Form?
It is a Baltimore City Department of Housing & Community Development form for asking a review of a miscellaneous clean/board bill. You select a reason, sign, and send it to DHCD with the original bill. The PDF itself is headed Miscellaneous Clean/Board Review Form.
What reasons can I give to dispute a clean/board bill?
The form lists wrong property cleaned or boarded; no violation notice issued before DPW completed the work; violation abated by you before DPW arrived; you did not own the property when the work was done; or Other, written in on the form.
Do I have to attach the bill to the form?
Yes. The form says the original Misc clean/Board bill must be attached to the request, and you submit both the form and the bill or bills together. Without the bill, the request is incomplete.
What if I don't have a copy of the bill?
Call the Misc billing Department at (410) 396-3000 or go to 200 Holliday Street, Counter #2, to get a copy. The form directs you there, so get the copy before you submit the dispute.
Where do I send the clean/board bill dispute form?
Email it to [email protected], mail it to 417 E. Fayette Street, Room 128, Baltimore, MD 21202, or fax it to (410) 396-3626. Send the form and the bill or bills together, signed and dated.
How long does a clean/board lien review take?
The form states that processing time for lien reviews may take up to 5-7 business days, not including holidays or weekends. The response is sent the way you chose on the form: regular mail, email or fax.
Can I choose how DHCD responds to me?
Yes, but only one way. Check Regular Mail, Email or Fax on the form. If you choose email or fax, write the email address or fax number on the line next to your choice.
Can I fill out this form online on FillingPDF?
Yes. You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is an independent service and does not send the form to DHCD; you submit it by email, mail or fax with the bill.
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