Inspection Requests | LAFH Location

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LAFH LOCATION

Inspection Request

Please take care to complete EACH field with the correct information.

Case manager's first name

Case manager's last name

Case Manager Contact Information

Case manager's email

Case manager's phone

Case manager's agency

Case manager's Department

Participant Information

HMIS ID

Participant's first name

Participant's last name

Is this inspection for an Airtel participant?

Number of adults in household

Number of children in household

Funding Code

Programs

Participant's phone number

Participant's email

Participant's Monthly Income

Source of Income

Unit Information

SPA - Service Planning Area

Where did you find this listing?

Did the LL agree to multi-tenant leasing? *

Yes

No

Is this an apartment or house?

Unit type

House number

Street name

Unit number

City

Zip

Monthly rent

Security deposit

Amount in arears

Did the participant view the unit in-person? *

Yes

No

Landlord Contact Information

Landlord's first name

Landlord's phone

Landlord's last name

Landlord's email

Documents requested * Required

Landlord Rental Agreement

Property Title

Rental Comparisons

Unit Habitability

Unit Information / Certification

W9

Ledger

Choose a locator

Please Upload: First half of the landlord documents

Upload file

Upload supported file (Max 15MB)

Upload file

Upload supported file (Max 15MB)

Add answer here

Your inspection request has been submitted. Thank you.

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