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For additional assistance with resolving residential Landlord-Tenant questions or issues, please complete the Tenant Questionnaire below or fill out the PDF version and return to The Burbank Housing Authority.


Download Tenant Information Form (PDF)

Email to: daguilar@burbankca.gov
Mail to: Burbank Housing Authority
             150 N. Third Street, 2nd Floor
             Burbank, CA 91502 

For questions call us at (818) 238-5180

Form

Tenant Questionnaire

This form is completed voluntarily and the information it contains may be shared at an open public meeting.

Personal Information

Personal Information

Have you hired an attorney?
Have you hired an attorney? null
Name: null
Address: null
Phone/Cell: null
Email: null
Move-in Date: null
Current Rent: null
Lease Expiration Date: null
Unit Type:
Unit Type: null
Do you have a lease?
Do you have a lease? null
Is the Building Owner Occupied? null
Number of Units In Building:
Number of Adult Occupants: null
Number of Minor Occupants: null
Number of Bedrooms: null
How did you hear about us?

Problem/Issue

Problem/Issue

Nature of Problem/Issue: null
When did you first report the problem? null
Did they respond?
Did they respond? null
Is the manager on-site?
Is the manager on-site? null

Property Information

Property Information

Is the building more than 15 years old?
Is the building more than 15 years old? null
Recent Rent Increases:
From:
To:
Recent Rent Increases:
From:
To:
Property Owner(s) Name: null
Owner Address:
Owner Contact Number: null
Owner Email:
Property Manager Name: null
Property Manager Address:
Property Manager Contact Number:
Property Manager Email:

AB 1482

AB 1482

Are you being evicted?
Are you being evicted? null
If yes, were you given a Notice of Violation?
If yes, were you given a Notice of Violation?
Were you given the opportunity to cure the violation?
Were you given the opportunity to cure the violation?
Were you offered relocation assistance or waiving of one month's rent?
Were you offered relocation assistance or waiving of one month's rent?