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It explains tenant or applicant rights to receive disclosure information and the housing provider’s obligation to complete and attach related forms within required timelines. The form requires certification of the housing provider’s and property’s details, including rent stabilization status, regulatory notices, and indoor mold information when applicable. It also captures monthly rent or rent charged, surcharges, application fees, security deposit terms, and deposit return procedures.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/housing-providers-disclosures-to-applicant-or-tenant-for-all-rental-units/306680/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/housing-providers-disclosures-to-applicant-or-tenant-for-all-rental-units/306680.png","ImageObject",442,249,{"name":88,"@type":89},"Seraphina","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-24","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",8,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"When must a housing provider provide this completed disclosure form to a tenant or applicant?","Question",{"text":109,"@type":110},"A current tenant may request the information once per calendar year, and the housing provider must provide the completed form within ten (10) business days. Applicants receive these records along with the form when applying.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What records and attachments are referenced for additional information?",{"text":114,"@type":110},"The housing provider must maintain records of information reported on this form. Housing provider information requires completing and attaching Form 5, and rent history requires completing and attaching Form 4. The form also references RAD Form 5 and RAD Form 4 for related details.",{"name":116,"@type":107,"acceptedAnswer":117},"What security deposit terms and return process are described?",{"text":118,"@type":110},"The form states the deposit is held with either a fixed interest rate or the prevailing statement savings rate, depending on selection. It provides that within forty-five (45) days of tenancy termination the security deposit will be returned with interest if the tenancy lasts more than twelve (12) months, or the provider will notify the tenant in writing and provide an itemized statement if funds are withheld.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},306680,1790242367,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":76,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":9},962075114101,"https://ap-avatar.wpscdn.com/avatar/e000253a75eb197efd?x-image-process=image/resize,m_fixed,w_180,h_180&k=1780044092746381165","HOUSING PROVIDER’S DISCLOSURES TO APPLICANT OR TENANT  \n(FOR ALL RENTAL UNITS)  \nDate:    \nTenant or Applicant Name(s)    \nTenant Address   Washington, D.C.    \nRegistration/Exemption No:   Basic Business License No.   Certificate of Occupancy No.  (if applicable)  \nDear Tenant/Applicant(s):  \nDistrict of Columbia law requires all housing providers to disclose certain information about their housing accommodations. You should receive this form when you apply for a rental unit or, if an application is not required, when you enter a lease or other rental agreement. If you are a current tenant, you may request this information once per calendar year, and your housing provider must give you this completed form within ten (10) business days.  \nYour housing provider is required to maintain records of the information reported on this form. Applicants must be given these records along with this form, and existing tenants may request to view or be given a copy of the compiled records when requesting this form. See RAD Form 5 for a description of these records and details on how to obtain copies.  \nHousing provider: complete and attach Form 5.  \nThe undersigned housing provider certifies the following information to be true with respect to the rental unit and housing accommodation identified above:  \n\n| A. Housing Provider’s Information |  |  |  |\n| --- | --- | --- | --- |\n| Housing provider: complete all that apply, do not use P. O. boxes |  |  |  |\n|  | Owner (required) | Property Manager |  |\n| Name |  |  |  |\n| Street Address |  |  |  |\n| City, State & Zip Code |  |  |  |\n| Telephone Number |  |  |  |\n| Email |  |  |  |\n\n\n|  | Additional Owner (attach separate list if more than 2) | Registered Agent for Service |\n| --- | --- | --- |\n| Name |  |  |\n| Street Address |  |  |\n\n\n|  |  |  |\n| --- | --- | --- |\n| City, State & Zip Code |  |  |\n| Telephone Number |  |  |\n| Email |  |  |\n\nName on Basic Business License:    \n\n| B. Property Information |\n| --- |\n| The rental unit identified on this form is (check one) :\u003Cbr>[ ] Covered by the Rent Stabilization Program ([reg. no](reg. no). )   ; or [ ] Exempt from the Rent Stabilization Program ([ex. no](ex. no). ) ___________________.\u003Cbr>The rental unit is (check one) :\u003Cbr>[ ] Part of a: [ ] condominium or [ ] cooperative housing association; or [ ] In the process of converting to [ ] condominium, [ ] cooperative housing use, or [ ] non-housing use\u003Cbr>In the past twelve ( 12) months, the Department of Consumer and Regulatory Affairs or the Department of Buildings (as applicable) issued (number)   notices of infractions or violations of the housing regulations (Housing Code and Property Maintenance Code) (attach copies of notices) .\u003Cbr>There are (number)   notices of infractions or violations of the housing regulations issued by the Department of Consumer and Regulatory Affairs or the Department of Buildings (as applicable) that have not been abated at this time (attach copies of notices) .\u003Cbr>[ ] The housing provider knows that indoor mold levels at or above the threshold level set by the Department of Energy and Environment has been present in the rental unit or the housing accommodation during the past three (3) years and has not been remediated by an indoor mold remediation professional (attach description) . |\n\n\n| C. Monthly Rent or Rent Charged and Other Costs |\n| --- |\n| “Rent” applies to units exempt from rent stabilization and means the amount of money received or charged by a housing provider as a condition of occupancy or use of a rental unit and its related services and facilities.\u003Cbr>“Rent Charged” applies to rent stabilized units only and means the amount of money a tenant must actually pay to a housing provider as a condition of occupancy or use of a rental unit and its related services and facilities.\u003Cbr>“Rent Surcharge” applies to rent stabilized units only and means a charged added to the rent charged fora rental unit under a housing provider petition and is not included as pa","cbCaicsVELy7MesS","https://ap.wps.com/l/cbCaicsVELy7MesS","pdf",312677,"English","# Housing Provider’s Disclosures to Applicant or Tenant\n## Tenant or Applicant Information\n## Housing Provider and Property Information\n## Monthly Rent or Rent Charged and Other Costs","[{\"question\":\"When must a housing provider provide this completed disclosure form to a tenant or applicant?\",\"answer\":\"A current tenant may request the information once per calendar year, and the housing provider must provide the completed form within ten (10) business days. Applicants receive these records along with the form when applying.\"},{\"question\":\"What records and attachments are referenced for additional information?\",\"answer\":\"The housing provider must maintain records of information reported on this form. Housing provider information requires completing and attaching Form 5, and rent history requires completing and attaching Form 4. The form also references RAD Form 5 and RAD Form 4 for related details.\"},{\"question\":\"What security deposit terms and return process are described?\",\"answer\":\"The form states the deposit is held with either a fixed interest rate or the prevailing statement savings rate, depending on selection. It provides that within forty-five (45) days of tenancy termination the security deposit will be returned with interest if the tenancy lasts more than twelve (12) months, or the provider will notify the tenant in writing and provide an itemized statement if funds are withheld.\"}]","Housing Provider’s Disclosures to Applicant or Tenant - (For All Rental Units) | PDF",1789839837]