Rent Guarantee Program Submission

Please fill out the Agreement form below, attached additional documents, and submit it within 30 days of the tenant’s occupancy. The packet must include:

Signed Copy of the Lease/Rental Agreement
Copy of the Move-In Condition Report/Inspection signed by both the landlord and tenant and
This Rent Guarantee Program Provider/Landlord Agreement signed (electronically or actually) by the landlord

*Submission of this form is not a guarantee of fund eligibility or guarantee approval. A team member will review and follow up within 10 business days about the next steps.

Property Information

The Property Manager/Landlord/Owner's Name:

Mailing Address:

Telephone Number:

Email address:

Tenant/Rent Well Graduate Information

Tenant(s) Name:

Certificate ID Number (if available):

Agency or County Where the Certificate was Issued:

Address They Are Moving Into:

County:

Telephone Number:

Email:

What is the "Effective Date" date of the Tenancy:

Monthly Rent Amount:

Other Deposit/Fee Amounts:

Would you have rented to this tenant without this Guarantee?:
YesNoMaybe

I verify the following:

The Terms and Conditions can be found here.

Your Name:

Date:

If available that this time, please upload copies of the lease agreement and move-in condition report signed by both the landlord and tenant.

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Rent Guarantee Program Submission

Rent Guarantee Program Submission

Property Information

Tenant/Rent Well Graduate Information