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Excess Rent Complaint Form

  1. Purpose

    In lieu of filing a civil action, a Tenant may file an administrative complaint. A Landlord who demands, accepts, receives or retains any payment of Rent in excess of the Maximum Allowable Rent shall be liable for damages in the amount by which the payment or payments demanded, accepted, received, or retains exceeds the Maximum Allowable Rent (RMC 11.100.100(b)(1-2)).

  2. Instructions

  3. 1. Complete the following online form.

  4. 2. Upload any supporting documentation (PDF format).

  5. 3. You will be contacted when a hearing has been scheduled.

  6. Property Information

  7. Landlord/Property Manager Mailing Address

  8. Applicant Information

  9. Tenant Mailing Address

  10. Please check the box below if you would be willing to participate in voluntary mediation with the Landlord or Property Manager

    Mediation is often an effective way to resolve disputes between Tenants and Landlords. The benefit of mediation is that both parties have greater control over the outcome of the dispute, whereas, if a petition is resolved through a formal hearing, the fate of the decision rests with the Rent Board's Hearing Examiner.

  11. Rent History

  12. Attach electronic copies, as available, of your lease or rental agreement, notices of rent increases, canceled checks, rent receipts, building inspection reports, or other evidence to support your claim for overcharges.

  13. Attach additional documentation as needed.

  14. Attach additional documentation as needed.

  15. Attach additional documentation as needed.

  16. Please note: Any records included with this form and submitted to the City of Richmond, Rent Board, or Rent Program may be subject to disclosure pursuant to the California Public Records Act.

  17. Certification of Correctness of Information

  18. Certification of Correctness of Information*

    Under penalty of perjury under the laws of the state of California, I hereby certify that the foregoing information and that contained in any attached sheets is true and correct to the best of my knowledge and belief.

  19. Signature

  20. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

  21. Signature Verification*

  22. Form Resubmission?

  23. Leave This Blank:

  24. This field is not part of the form submission.