Richmond, CA · Contra Costa County
Petition for the Determination of Occupancy Status
A landlord or current tenant files this petition with the Richmond Rent Program to request a determination about a rental unit’s primary-residence occupancy status.
What this form is
A landlord may use this petition to ask the Richmond Rent Program to determine whether a tenant occupies a rental unit as their primary residence. Before submitting, the form instructs filers to contact the program to check whether the unit is covered by the Rent Ordinance. It asks for property, tenant, landlord, and representative information, the grounds for the petition, and additional facts.
Who needs it
A landlord or current tenant seeking a determination of a rental unit’s occupancy status may complete and file this petition.
How to submit it
Mail or bring the completed, signed petition, supporting documentation, and proof of service to the Richmond Rent Program at 440 Civic Center Plaza, Richmond, CA 94804-1630.
About notarization
This document is signed without a notary; its certification and proof of service require declarations under penalty of perjury, which the signer signs and dates.
How to submit this form
- 1
Download the Petition
Download the Petition for the Determination of Occupancy Status.
- 2
Complete the Petition
Provide the property, tenant, landlord, and representative information, and explain the grounds and any additional facts.
- 3
Gather Supporting Documents
Include supporting documentation and complete the proof of service showing how the opposing party received a copy.
- 4
Submit to the Rent Program
Mail or bring the signed petition and required materials to the Richmond Rent Program at 440 Civic Center Plaza.
Frequently asked questions
- Do I need a notary for the occupancy status petition?
- No. The document has no notary block; the petition certification and proof of service are declarations under penalty of perjury that the signer signs and dates.
- How do I submit the occupancy status petition?
- Mail or bring the signed petition, supporting documentation, and proof of service to the Richmond Rent Program at 440 Civic Center Plaza, Richmond, CA 94804-1630.
- Who can file this petition?
- The form says a landlord may seek a determination and lists a completed petition signed by the landlord or a current tenant among the filing items.
- What information does the petition request?
- It asks for the rental property address, tenant and landlord details, grounds for the request, additional facts, signatures, and proof that the opposing party was served.
Need something notarized?
This Petition for the Determination of Occupancy Status doesn’t need a notary — but if you have another Richmond form that does, a commissioned online notary can help.
