Feedback Form

(NPHA Communication Form)

If you wish to send a compliment, suggestion, complaint or report an incident, please fill out this confidential form.

Date*

First Name*

Last Name*

Are you a:*

Tenant

Ponca Member

Tribal Government

Employee

Other

Is this a:*

Compliment

Suggestion

Complaint

Incident

Please provide as much detail as you can:*

Have you discussed this matter with an employee of NPHA?*

Yes

Please provide details of the outcome you are seeking:*

Are you requesting follow-up from NPHA regarding this matter?

Yes

I understand NPHA reserves the right to contact appropriate authorities as a result of this submission.

Signature

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We value your feedback and inquiries and look forward to assisting you. Let’s work together to create brighter futures for Native American families.

Have questions? Need assistance? We're here to help.

NORFOLK

1501 W. Michigan Ave.
Norfolk, NE 68701

OMAHA

10635 Birch St.
Omaha, NE 68134

EMERGENCY PAGER (After Hours Only)

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