Hayward, CA · Alameda County
Self-Certification Application - Affidavit
Rental property owners or their agents use this application-affidavit to certify annual inspections for properties enrolled in Hayward’s Residential Rental Inspection Program.
What this form is
Owners in the Residential Rental Inspection Program must inspect each rental unit at least once each calendar year and when tenancy changes, then submit this application-affidavit to the city. It records the property address, unit count, inspection date, and signer’s contact information. The signer certifies that all units and building exteriors were inspected and the property meets the Self-Certification Checklist.
Who needs it
Owners, agents, or designated representatives of properties approved for Hayward’s Residential Rental Inspection Program must complete and return the affidavit annually.
How to submit it
Mail the executed application-affidavit to City of Hayward Code Enforcement Division - Residential Rental Inspection Program, 777 B Street, 1st Floor, Hayward, CA 94541.
About notarization
This document is signed without a notary; it contains no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Self-Certification Application - Affidavit PDF.
- 2
Complete The Form
Enter the certification address, number of units, apartment complex name, inspection date, and signer information.
- 3
Inspect The Property
Inspect each rental unit using the Self-Certification Checklist and keep a copy of the completed checklist on file.
- 4
Sign And Mail The Form
Sign the application-affidavit and mail it to the city’s Residential Rental Inspection Program at the address listed on the form.
Frequently asked questions
- What does the Self-Certification Application - Affidavit do?
- It records property and inspection details and certifies that the signer inspected all rental units and building exteriors and that the property meets the Self-Certification Checklist.
- Who submits this application-affidavit?
- Owners, agents, or designated representatives of properties approved for Hayward’s Residential Rental Inspection Program submit it annually.
- Do I need a notary for the Self-Certification Application - Affidavit?
- No. This document is signed without a notary, and it has no notarized or sworn attachment; the signer just signs and dates it.
- How do I submit the Self-Certification Application - Affidavit?
- Mail the executed form to the City of Hayward Code Enforcement Division - Residential Rental Inspection Program, 777 B Street, 1st Floor, Hayward, CA 94541.