City of Berkeley Rent Board, Tenant Petition for Rent Decrease

REASONS FOR REQUESTING A RENT DECREASE
Check the reason(s) you are filing this petition AND complete the corresponding Schedule(s). Provide
supporting documentation as indicated in the Schedules. Be sure to check all that apply because you
may not be able to file another petition later for a claim that exists now.
 Illegally High Rent (Schedule A)
 Failure to Refund Security Deposit or Interest on Security Deposit (Schedule B)
 Substandard Condition or Decrease in Amenities/Living Space (Schedule C)
 Decrease in Number of Tenants Allowed (Schedule D)

LANDLORD INFORMATION
List the owner(s) of the building and the person you pay your rent to.
Name
Mailing Address
Phone Email Address
Relationship to Property (Check One):  Owner  Manager  Master Tenant

Name
Mailing Address
Phone Email Address
Relationship to Property (Check One):  Owner  Manager  Master Tenant

TENANT INFORMATION (SKIP IF PETITIONER IS A TENANT ASSOCIATION)
If multiple tenants live in the unit, provide each tenant’s contact information below. If the mailing address is
the same as above for all tenants, please indicate that.
Name
Mailing Address
Phone Email Address
Occupancy Start Date End Date (“NA” if still living in unit)

Name
Mailing Address
Phone Email Address
Occupancy Start Date End Date (“NA” if still living in unit)

Name
Mailing Address
Phone Email Address
Occupancy Start Date End Date (“NA” if still living in unit)

Name
Mailing Address
Phone Email Address
Occupancy Start Date End Date (“NA” if still living in unit)