Richmond, CA · Contra Costa County
Request for an Administrative Determination of Exempt Status
Richmond landlords use this request to ask the Rent Program to determine whether a property is fully covered, partially exempt, or fully exempt.
What this form is
A landlord can use this request to ask the Richmond Rent Program to determine a property's status under the Rent Ordinance: fully covered, partially exempt, or fully exempt. The form lists exemption claims involving property types and rental arrangements, and asks for owner, property, and contact information. Include a written explanation of the request; the form says it may be shared with the opposing party before a decision.
Who needs it
A landlord seeking a Rent Program determination of whether a property is fully covered, partially exempt, or fully exempt should use this request.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the signer declares under penalty of perjury that the information and attached documentation are true and correct.
How to submit this form
- 1
Download The Request
Download the Request for an Administrative Determination of Exempt Status.
- 2
Complete The Request
Provide the requested owner, property, and contact information, and check any applicable exemption claims.
- 3
Attach An Explanation
Attach a written explanation of the request; the form notes it may be shared with the opposing party before a decision.
- 4
Sign And Submit
Sign and date the declaration, then submit the request to the city department named on the form.
Frequently asked questions
- What does the exempt status request do?
- It lets a landlord ask the Richmond Rent Program to determine whether a property is fully covered, partially exempt, or fully exempt under the Rent Ordinance.
- What information and attachments does the request ask for?
- It asks for owner, property, and contact information, and asks the landlord to attach a written explanation. The form says the explanation may be shared with the opposing party before a decision.
- Do I need a notary for the exempt status request?
- No. The document has no notary block; the signer signs and dates it and declares under penalty of perjury that the information and attached documentation are true and correct.
- How do I submit the exempt status request?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Request for an Administrative Determination of Exempt Status doesn’t need a notary — but if you have another Richmond form that does, a commissioned online notary can help.