OREGON - RENTAL APPLICATION - To be completed by each adult applicant

Sep 19, 2026

Upload by Maeve

Rental Application form for Oregon requiring completion by each adult applicant. Captures applicant identity details, contact information, prior names, date of birth, photo ID information, prior addresses, move-in date, and landlord references. Includes sections for employment history and income, add/remove roommates or transfers, smoking policy preferences, vehicle and other occupant information, pets approval and counts, renter’s insurance requirements with eligibility conditions, and disclosures about evictions, bankruptcy, and foreclosure status. Includes office-use-only rent, deposits, and screening charge fields.

LanguageEnglish

CategoryForms

FormatPDF

Pages3

Reading Time1 min

AccessFree to download

Applicant Information

Contact and Identification

Prior Residence and Landlord

Employment and Income

Rental Terms and Charges

Rent and Screening Charges

Deposits and Insurance

Occupants, Vehicles, and Pets

Other Occupants

Vehicles

Pets and Allowed Animals

Compliance and Disclosures

Eviction, Bankruptcy, and Foreclosure

OREGON (NOT FOR CITY OF PORTLAND) RENTAL APPLICATION TO BE COMPLETED BY EACH ADULT APPLICANT ALL UNITS SUBJECT TO AVAILABILITY | OFFICE USE ONLY | NEW MOVE-IN OCCUPANT TURNING 18 ADD/REMOVE ROOMMATE TRANSFER
PROPERTY NAME / NUMBER SAMPLE SAMPLE UNIT NUMBER SAMPLE ADDRESS SAMPLE DATE UNIT WANTED SAMPLE UNIT RENT $ SAMPLE NON-REFUNDABLE SCREENING CHARGE $ SAMPLE
MM/DD/YYYY
OWNER / AGENT SAMPLE PHONE SAMPLE OWNER / AGENT ADDRESS SAMPLE SMOKING POLICY: ALLOWED-ENTIRE PREMISES PROHIBITED-ENTIRE PREMISES ALLOWED IN LIMITED AREAS (ASK MANAGEMENT FOR DETAILS) | | --- | --- | | SAMPLE
HAVE YOU APPLIED TO ANY OTHER LOCATIONS MANAGED BY OWNER/AGENT IN THE LAST 60 DAYS? YES NO
IF YES, WHERE? SAMPLE APPLICANT FULL LEGAL NAME SAMPLE EMAIL SAMPLE PREVIOUS NAMES, ALIASES OR NICKNAMES USED SAMPLE
DATE OF BIRTH SAMPLE SOC. SECURITY \# SAMPLE APPLICANT PHONE ( ) SAMPLE MM/DD/YYYY
PHOTO I. D. TYPE SAMPLE \# SAMPLE / STATE SAMPLE EXP. DATE SAMPLE
MM/DD/YYYY
CURRENT STREET ADDRESS SAMPLE CITY SAMPLE STATE SAMPLE ZIP SAMPLE DATE YOU MOVED IN SAMPLE
MM/DD/YYYY
CURRENT LANDLORD NAME SAMPLE LANDLORD PHONE ( ) SAMPLE LANDLORD EMAIL SAMPLE LANDLORD FAX ( ) SAMPLE STREET ADDRESS (OR APARTMENT NAME) SAMPLE CITY SAMPLE STATE SAMPLE ZIP SAMPLE | | | APPLICANT | APPLICANT FORMER STREET ADDRESS SAMPLE CITY SAMPLE STATE SAMPLE ZIP SAMPLE FROM SAMPLE TO SAMPLE
MM/DD/YYYY MM/DD/YYYY
FORMER LANDLORD NAME SAMPLE LANDLORD PHONE ( ) SAMPLE LANDLORD EMAIL SAMPLE LANDLORD FAX ( ) SAMPLE STREET ADDRESS (OR APARTMENT NAME) SAMPLE CITY SAMPLE STATE SAMPLE ZIP SAMPLE OTHER STATES AND COUNTIES YOU HAVE LIVED IN DURING THE PAST 5 YEARS SAMPLE | | CURRENT EMPLOYER SAMPLE PHONE ( ) SAMPLE HR EMAIL SAMPLE HR FAX ( ) SAMPLE STREET ADDRESS SAMPLE CITY SAMPLE STATE SAMPLE ZIP SAMPLE POSITION SAMPLE HOW LONG? SAMPLE GROSS MONTHLY INCOME $ SAMPLE OTHER MONTHLY INCOME: SOURCE SAMPLE $ SAMPLE / SOURCE SAMPLE $ SAMPLE
SAEPYLOEU SELF-EMPLOYED? YES NO
PREVIOUS ADDITIONAL EMPLOYER SAMPLE PHONE ( ) SAMPLE HR EMAIL SAMPLE HR FAX ( ) SAMPLE STREET ADDRESS SAMPLE
CITY SAMPLE STATE SAMPLE ZIP SAMPLE
IF ADDITIONAL EMPLOYER,
POSITION SAMPLE HOW LONG? SAMPLE GROSS MONTHLY INCOME $ SAMPLE | | |
THE FOLLOWING INFORMATION IS SUBJECT TO CHANGE PRIOR TO EXECUTION OF RENTAL AGREEMENT.

RENT
THE FOLLOWING ARE MAXIMUM AMOUNTS. THE ACTUAL AMOUNT CHARGED WILL DEPEND ON UNIT SIZE, SCREENING RESULTS, AND OTHER FACTORS.
MAXIMUM POTENTIAL RENT $ SAMPLE
SAMPLE $ SAMPLE
SAMPLE SAMPLE SAMPLE

DEPOSITS
SECURITY DEP. MINIMUM $ SAMPLE
SECURITY DEP. MAXIMUM $ SAMPLE (DEPENDS ON SCREENING RESULTS AND UNIT SIZE)
SAMPLE $ SAMPLE
SAMPLE $ SAMPLE SAMPLE $ SAMPLE SAMPLE $ SAMPLE SAMPLE $ SAMPLE

INSURANCE
IF CHECKED, RENTER’S INSURANCE WILL BE REQUIRED.
IF CHECKED, RENTER’S INSURANCE WILL BE REQUIRED IF SAMPLE
_____________________________________________________________________________
MINIMUM INSURANCE AMOUNT: $ SAMPLE ($100,000 IF LEFT BLANK)
OWNER/AGENT MUST BE LISTED AS AN “INTERESTED PERSON” ON THE INSURANCE POLICY AND PROOF OF SUCH LISTING PROVIDED PRIOR TO MOVE-IN.
(NO INSURANCE WILL BE REQUIRED IF: A) THE HOUSEHOLD INCOME OF ALL OF THE TENANTS IN THE UNIT IS EQUAL TO OR LESS THAN 50 PERCENT OF THE AREA MEDIAN INCOME, ADJUSTED FOR FAMILY SIZE AS MEASURED UP TO A FIVE-PERSON FAMILY; OR B) IF THE DWELLING UNIT HAS BEEN SUBSIDIZED WITH PUBLIC FUNDS, NOT INCLUDING HOUSING CHOICE VOUCHERS.) | | ON SITE RESIDENT MAIN OFFICE (IF REQUIRED) PAGE 1 • Form M002 OR Copyright © 2025 Mult i family NW® NOT TO BE REPRODUCED W ITHOUT WRITTEN PERM ISS ION . Revised 7/24/2025 . | OTHER OCCUPANTS | NAME
SAMPLE
DATE OF BIRTH
SAMPLE
MAKE
SAMPLE
MODEL
SAMPLE
COLOR STATE LICENSE PLATE \# OWNER
SAMPLE SAMPLE SAMPLE SAMPLE
___________

FAQs

Who must complete this rental application?

Each adult applicant must complete the form.

What smoking policy options does the application include?

It lists smoking as allowed for entire premises, prohibited for entire premises, or allowed in limited areas with details provided by management.

When is renter’s insurance required and when can it be waived?

Renter’s insurance is required if checked; it can be waived when household income for all tenants is at or below 50% of area median income adjusted for family size, or when the dwelling unit has been subsidized with public funds (excluding housing choice vouchers).

Sep 19, 2026

Upload by Maeve