As listed on your Rental Housing Fee invoice
Check all that apply.
If you selected "Other" for the question above, please describe the reason for financial hardship caused by the COVID-19 pandemic.
You must provide written documentation in support of the claim of financial hardship related to COVID-19. The types of documentation that are acceptable include, but are not limited to, a letter or notice from tenants, establishing proof of their inability to pay rent, letter from employer, establishing proof of reduction in work hours or proof of employer/business shut down due to COVID-19, medical bills, etc. If Landlord is self-employed, please provide proof of self-employment including federal income tax returns and a signed explanation of the hardship.
I swear or affirm that the answers are true and reflect my current finances and status regarding COVID-19. I declare under penalty of perjury under the laws of the State of California that the foregoing, and all attached pages including supporting documentation, are true and correct to the best of my knowledge.
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