Form DCFD, Tenant Declaration of COVID-19 Related Financial Distress

Forms are hard copy only and not provided digitally. All sales on single forms are final.

California law prohibits a landlord from evicting a residential tenant if the tenant signs and delivers to the landlord a declaration under penalty of perjury that the tenant is unable to pay rent due to a COVID-19 related reason. An unsigned version of this form must be attached to an eviction notice for unpaid rent from March 1, 2020 to January 31, 2021. No proof of inability to pay is needed unless tenant is a “high income” tenant.

Revised September 2020


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