Richmond, CA · Contra Costa County
Tenant Attachment A: Excess Rent Due to Overcharges
Richmond tenants use this attachment to explain rent overcharges, security deposit increases, and the refund they are requesting from the Rent Program.
What this form is
This attachment supports a tenant petition about excessive rent, including overcharges and increases in a security deposit. It asks for rental and payment details, rent increase history, reasons for challenging increases, and the refund requested. Tenants can explain other overcharge claims and attach available supporting records, such as a lease, rent notices, receipts, or inspection reports.
Who needs it
Richmond tenants seeking to explain rent overcharges or an increased security deposit can complete this attachment for their petition.
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 attachment is signed without a notary; the tenant signs and dates a declaration under penalty of perjury and may attach supporting records.
How to submit this form
- 1
Download The Attachment
Download the Tenant Attachment A PDF.
- 2
Complete The Form
Fill in your rental and security deposit information, explain the overcharge claim, and state the refund requested.
- 3
Gather Supporting Records
Attach available lease or rental agreement copies, rent increase notices, cancelled checks, receipts, inspection reports, or other evidence.
- 4
Submit To The City
Submit the attachment to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is Tenant Attachment A used for?
- Tenants use it to describe rent overcharges, security deposit increases, rent increase disputes, and the refund they are requesting.
- What information and records should I include?
- The form asks for rental details, rent and deposit changes, reasons for your claim, and the refund requested. It asks for available supporting records, such as a lease, rent notices, receipts, or inspection reports.
- Do I need a notary for Tenant Attachment A?
- No. Sign and date the declaration under penalty of perjury. The form does not require a notary; supporting records may be attached.
- How do I submit Tenant Attachment A?
- Submit it to the city department named on the form; check the city website for current contact details. The form lists the Richmond Rent Program's address, email, and fax.
Need something notarized?
This Tenant Attachment A: Excess Rent Due to Overcharges doesn’t need a notary — but if you have another Richmond form that does, a commissioned online notary can help.
