Get Non-payment Intake Form

Filling out the Non-Payment Intake Form online can be a straightforward process when you have the right guidance. This form is essential for documenting the details related to non-payment issues and ensuring that you provide all necessary information accurately.

Follow the steps to complete the Non-Payment Intake Form online.

1. Click ‘Get Form’ button to access the Non-Payment Intake Form and open it in your browser.
2. Begin by entering the date in the provided space at the top of the form. This should reflect the current date when you are filling out the form.
3. Enter your contact telephone numbers in the designated fields—include both work and cell numbers to ensure easy communication.
4. Provide your full name in the Client Name section, followed by the business address if applicable.
5. Indicate your preferred method of receiving hearing status and billing by selecting between email, mail, or fax in the corresponding checkboxes.
6. Fill out the landlord's information, including their name, telephone numbers, business address, and preferred contact method.
7. Identify the building type by selecting the appropriate checkbox that describes the premises. Provide the name and address of the registered agent if applicable.
8. Detail tenant and lease information, including the tenant's name, other occupants, and the full address. Specify if it's a residential or commercial lease, and include relevant lease dates.
9. Complete the financial section by entering the monthly rent, tenant's portion, and the subsidized amounts along with the total amount due.
10. Indicate if a three-day rent demand has been served and provide any relevant repair issues or past acceptance of DSS payments.
11. List which months are due along with any late fees and additional charges in the space provided for clarification.
12. Once all sections are filled out, review the form for accuracy. You can then save the completed form, download it, print it, or share it as needed.

Start filling out your Non-Payment Intake Form online today to ensure timely processing.