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2. Instructions and Purpose
4. THE COVID-19 TENANT RELIEF ACT AND THE COVID-19 RENTAL HOUSING RECOVERY ACT (AB-832)

   The COVID-19 Tenant Relief Act and the COVID-19 Rental Housing Act was signed by Governor Newsom on June 28, 2021. The COVID-19 Tenant Relief Act extended previous iterations of state law passed in response to the COVID-19 pandemic and provided that residential Tenants who are unable to pay rent during COVID-19 emergency cannot be evicted for rent that became due between March 1, 2020, and September 30, 2021, if certain requirements are met. The Act's eviction protections apply only where the evictions are based on nonpayment of rent. 

   Further, the COVID-19 Rental Housing Recovery Act provides for certain requirements for landlords seeking to evict for nonpayment of rent between October 1, 2021, and March 31, 2022, including the requirement to seek and apply for rental assistance. Tenants may also apply and potentially have their eviction for nonpayment of rent dismissed and/or have most or all of their rental debt that accrued during the covered period paid. 

   Please visit our homepage at www.richmondrent.org for more information about evictions during the period of local emergency, as well as resources, noticing requirements, and other emergency needs. Access the COVID-19 and Rental: What Richmond Tenants and Landlords Need to Know Fact Sheet (English and Spanish). Under the Just Cause for eviction provisions of the Richmond Fair Rent, Just Cause for Eviction, and Homeowner Protection Ordinance, Tenants can only be evicted for specific reasons stated in the law. The Just Cause for eviction law provided in Rent Ordinance (RMC 11.100) will continue to apply to most residential Tenants. Rent Program staff are available by phone at (510) 234-RENT [7368] or email (rent@ci.richmond.ca.us) to address any questions from community members.

6. Read the Emergency Order
   The COVID-19 Tenant Relief Act and the COVID-19 Rental Housing Recovery Act (AB-832)
8. Access the Fact Sheet
   Richmond Rent Program Fact Sheet: What Richmond Landlords and Tenants Need to Know
10. Purpose

    In accordance with RMC 11.100.060(s)(1) and Rent Board Regulation 17-10, Landlords are required to file a copy of all tenancy termination notices (including three day notices to pay rent or quit and notices to perform covenant or quit) with the Rent Board within two (2) business days after service on the Tenant. A Proof of Service with time and date of service must be included with the copy of the notice filed with the Rent Board. Please complete and submit the following form to file a copy of the notice to terminate tenancy with the Rent Board. NOTE: If the Landlord is terminating tenancy due to Withdrawal from the Rental Market, please call (510) 234-RENT (7368) or visit the Rent Program office, located on the second floor of 440 Civic Center Plaza, Richmond, CA 94804, to speak with a staff member and obtain notice templates and recording documents.

12. NOTICE REGARDING RENT PROGRAM MEDIATION OPTION

    The Rent Program offers informal mediation services to assist Landlords and Tenants in the City of Richmond with resolving disputes. Landlords who wish to attempt mediation with a Tenant should be aware that service of a 3-Day Notice, 10-Day Notice, or other Termination of Tenancy notice, may disqualify the case for mediation with the Rent Program. Please call (510) 234-RENT (7368) for more information.

14. Link to Proof of Service Form
    Printable Proof of Service Form
16. Rental Property Information
18. Rental Property Assessor Parcel Number (APN)*
20. Parent Street Address (associated with the Parent APN above)*
22. City*
23. State*
24. Zip*
26. Rental Unit Information and Just Cause for Eviction or Termination of Tenancy
    Please include all tenants on the lease.
28. OPTIONAL: To File Notice of Termination of Tenancy (includes Three Day Notices to Pay Rent or Quit or Notices to Perform Covenant or Quit) on More Than Five (5) Rental Units
    If a Landlord seeks to file a notice of termination of tenancy on more than five (5) Rental Units, they may list ALL Rental Units and Unit # or Unique Address in a separate Excel sheet and upload it below. Please note: only sheets in Excel format that match and include ALL fields identified below will be accepted. (Alternatively, this online form may be completed and submitted multiple times.)
30. Rental Unit # or Unique Address*
31. Tenant Name(s) (First, Last)*
32. Notice Expiration Date:*
    Notice Expiration Date:
    Date by which the Tenant shall comply with the notice.
33. Please indicate the applicable Just Cause for Eviction.*
    -- Select One --1. Failure to Pay Rent 2. Breach of Lease3. Nuisance 4. Failure to Give Access 5. Temporarily Vacate in Order to Undertake Substantial Repairs**6. Owner Move-In***7. Withdrawal from the Rental Market***8. Temporary Tenancy
35. Tenant's Phone Number (if known)
36. Tenant's Email Address (if known)
38. Rental Unit # or Unique Address
39. Tenant Name(s) (First, Last)
40. Notice Expiration Date
    Notice Expiration Date
    Date by which the Tenant shall comply with the notice.
41. Please indicate the applicable Just Cause for Eviction.
    -- Select One --1. Failure to Pay Rent2. Breach of Lease3. Nuisance4. Failure to Give Access5. Temporarily Vacate in Order to Undertake Substantial Repairs**6. Owner Move-In***7. Withdrawal from the Rental Market***8. Temporary Tenancy
43. Tenant's Phone Number (if known)
44. Tenant's Email Address (if known)
46. Rental Unit # or Unique Address
47. Tenant Name(s) (First, Last)
48. Notice Expiration Date
    Notice Expiration Date
    Date by which the Tenant shall comply with the notice.
49. Please indicate the applicable Just Cause for Eviction
    -- Select One --1. Failure to Pay Rent2. Breach of Lease3. Nuisance4. Failure to Give Access5. Temporarily Vacate in Order to Undertake Substantial Repairs**6. Owner Move-In***7. Withdrawal from the Rental Market***8. Temporary Tenancy
51. Tenant's Phone Number (if known)
52. Tenant's Email Address (if known)
54. Rental Unit # or Unique Address
55. Tenant Name(s) (First, Last)
56. Notice Expiration Date
    Notice Expiration Date
    Date by which the Tenant shall comply with the notice.
57. Please indicate the applicable Just Cause for Eviction
    -- Select One --1. Failure to Pay Rent2. Breach of Lease3. Nuisance4. Failure to Give Access5. Temporarily Vacate in Order to Undertake Substantial Repairs**6. Owner Move-In***7. Withdrawal from the Rental Market***8. Temporary Tenancy
59. Tenant's Phone Number (if known)
60. Tenant's Email Address (if known)
62. Rental Unit # or Unique Address
63. Tenant Name(s) (First, Last)
64. Notice Expiration Date
    Notice Expiration Date
    Date by which the Tenant shall comply with the notice.
65. Please indicate the applicable Just Cause for Eviction
    -- Select One --1. Failure to Pay Rent2. Breach of Lease3. Nuisance4. Failure to Give Access5. Temporarily Vacate in Order to Undertake Substantial Repairs**6. Owner Move-In***7. Withdrawal from the Rental Market***8. Temporary Tenancy
67. Tenant's Phone Number (if known)
68. Tenant's Email Address (if known)
70. ** A Temporary Relocation Payment shall be provided pursuant to the requirements of this Chapter by any Landlord who takes action to terminate tenancy for the reasons specified in Section 11.100.050(a)(5) (Temporarily Vacate in Order to Undertake Substantial Repairs) of the Municipal Code (RMC 11.102.030(a)).
72. *** A Permanent Relocation Payment shall be provided pursuant to the requirements of this Chapter by any Landlord who takes action to terminate tenancy for the reasons specified in Section 11.100.050 (a)(6) (Owner Move-In) or Section 11.100.050 (a)(7) (Withdrawal from the Rental Market) of the Richmond Municipal Code (RMC 11.102.030(b)).
76. Written Warning Notices for Breach of Lease, Nuisance, or Failure to Give Access
    If the Landlord seeks to terminate tenancy for Breach of Lease (RMC 11.100.050(a)(2), Nuisance (RMC 11.100.050(a)(3), or Failure to Give Access (RMC 11.100.050(a)(4), a written warning notice must be served by the Landlord within a reasonable period prior to serving a notice to terminate tenancy. The written warning notice shall inform the Tenant that a failure to cure may result in the initiation of eviction proceedings (RMC 11.100.050(d)).
78. Supporting Documentation
    For any termination of tenancy for Breach of Lease, Nuisance, or Failure to Give Access, please upload ONE PDF file including all copies of any written warning notice(s) served to the tenant(s) prior to termination of tenancy.
82. Copies of Notice(s) of Termination of Tenancy and Proof(s) of Service
84. Copy of Termination of Tenancy Notice(s) (including Three Day Notices to Pay Rent or Quit and Notices to Perform Covenant or Quit) and Proof(s) of Service*
    Please upload ONE or MULTIPLE PDF file(s) containing a copy of (1) all termination of tenancy notice(s) that will be served on the Tenant(s) identified above and (2) a completed Proof of Service form with time and date of service for EACH notice served. PLEASE NOTE that any notice of termination of tenancy served for a "no-fault" cause, including Substantial Repairs, Owner Move-In, or Withdrawal from the Rental Market, shall include the completed Notice of Entitlement to Temporary or Permanent Relocation Payment (RMC 11.102.040(a)). This form is available in the Notice Templates below. Please carefully review the template which corresponds to the cause for eviction or termination of tenancy.
86. Additional PDF files (if necessary)
88. Additional PDF files (if necessary)
90. Additional PDF files (if necessary)
92. Additional PDF files (if necessary)
94. Notice Templates
    Landlords may refer to the following notice of termination of tenancy templates posted on the Rent Program website and accessible at the links below. Landlords are welcome to use their own notices so long as they contain all of the information provided in these templates.
96. Substantial Repairs
    Substantial Repairs

    Termination Notice: Pages 3-4 Relocation Payment Notice: Pages 6-7
97. Withdrawal from Rental Market
    More Information

    NOTE: If the Landlord is terminating tenancy due to Withdrawal from the Rental Market, please call (510) 234-RENT (7368) or visit the Rent Program office, located on the second floor of 440 Civic Center Plaza, Richmond, CA 94804, to speak with a staff member and obtain notice templates and recording documents.
99. Owner-Move In
    Owner-Move In

    Termination Notice: Pages 2-3 Relocation Payment Notice: Pages 5-12

103. Signature
105. First Name*
106. Last Name*
108. Street Address*
109. Apt #
111. City*
112. State*
113. Zip*
115. Phone*
116. Email*
118. Date*
     Date
120. Signature Verification*

     1. By checking this box, you certify this is your valid signature for all legal purposes.
122. Form Resubmission?

     1. Check this box if you are resubmitting this form to correct an error.
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124. 1. Receive an email copy of this form.
125. Email address

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126. Submit

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