Rent Review Questionnaire

RENT REVIEW/EVICTION QUESTIONNAIRE

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Check your issue: *

Termination of Tenancy Rent Increase

Street Address *

City or County Area *

How many tenant-occupied units including yours are there on the parcel where you live? *

-1 -2 -3 or more

RENT INCREASE INFORMATION - Complete if you have a complaint regarding a rent increase.

Current rent? *

Date increase notice received? *

Amount of increase? *

Date rent increase becomes effective? *

VACATE OR TERMINATION NOTICE INFORMATION - Complete if you have a complaint regarding a vacate notice.

Date termination notice received? *

Date termination becomes effective? *

Complete and Submit As Soon As Possible!

Submit

Administrative Offices
22551 Second Street, Suite 200
Hayward, CA 94541
510-581-9380 phone
510-537-4793 fax

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