Form Center

2. This form may be used to file a notice of rent increase for MULTIPLE Rental Units. List each Rental Unit and accompanying information below, or, if there are more than five (5) Rental Units receiving a notice of rent increase, upload an Excel file with all required fields.
4. Purpose
   Purpose: This form may be used by a Landlord to notify the Board of a Rent Increase as required by Richmond Municipal Code Section 11.100.060(s)(1). Please review and follow the steps on the Rent Increase webpage (www.richmondrent.org/increase). PLEASE NOTE: To comply with RMC 11.100.060(s)(1), a Proof of Service form MUST be included with the notice filed with the City.
6. Link to 30-Day AGA Rent Increase Notice Template (fillable PDF)
   30- Day AGA Rent Increase Notice
8. Link to 90- Day AGA Rent Increase Notice Template (fillable PDF)
   90- Day AGA Rent Increase Notice
10. Link to Proof of Service Form
    Printable Proof of Service Form
12. Property and Tenant Information
14. Rental Property Assessor Parcel Number (APN)*
16. Parent Street Address (associated with the Parent APN above)*
18. City*
19. State*
20. Zip*
22. To File a Notice of Rent Increase on More Than Five (5) Rental Units
    OPTIONAL: If a Landlord seeks to file notice of a rent increase 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.)
24. UNIT #1 RENT INCREASE INFORMATION (REQUIRED)
26. Tenant Name(s) (First, Last)*
27. Unit Number or Unique Address*
29. Current Rent*
30. New Rent*
32. UNIT #2 RENT INCREASE INFORMATION (IF FILING NOTICE FOR MULTIPLE UNITS)
34. Tenant Name(s) (First, Last)
35. Unit Number or Unique Address
37. Current Rent
38. New Rent
40. UNIT #3 RENT INCREASE INFORMATION (IF FILING NOTICE FOR MULTIPLE UNITS)
42. Tenant Name(s) (First, Last)
43. Unit Number or Unique Address
45. Current Rent
46. New Rent
48. UNIT #4 RENT INCREASE INFORMATION (IF FILING NOTICE FOR MULTIPLE UNITS)
50. Tenant Name(s) (First, Last)
51. Unit Number or Unique Address
53. Current Rent
54. New Rent
56. UNIT #5 RENT INCREASE INFORMATION (IF FILING NOTICE FOR MULTIPLE UNITS)
58. Tenant Name(s) (First, Last)
59. Unit Number or Unique Address
61. Current Rent
62. New Rent
66. Copy of Rent Increase Notice(s) and Proof(s) of Service*
    Please attach ONE or MULTIPLE PDF file(s) containing a copy of (1) ALL rent increase notices 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.
68. Additional PDF Documents (if necessary)
70. Additional PDF Documents (if necessary)
72. Additional PDF Documents (if necessary)
74. Additional PDF Documents (if necessary)
78. Tenant Education Requirement
    Landlords are required to provide tenants with a copy of the Richmond Rent Program Brochure at the commencement of tenancy and with each notice of rent increase (RMC 11.100.060(g)). Downloadable copies of the Brochure are available on the Landlords webpage and via the links below.
80. Rent Program Brochure (English)
    Rent Program Brochure (English)
81. Rent Program Brochure (Spanish)
    Guía del Programa de Renta de la Ciudad de Richmond, CA
83. Tenant Education Verification (check the box below)

    1. I certify that the Rent Program Brochure shall be provided to each Tenant receiving a notice of rent increase.
85. Signature
87. First Name*
88. Last Name*
90. Signature Verification*

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

    1. Check this box if you are resubmitting this form to correct an error.
Leave This Blank:


94. 1. Receive an email copy of this form.
95. Email address

    This field is not part of the form submission.

96. Submit

* indicates a required field