Susanville, CA · Lassen County

No notary required

Owner/Tenant Agreement Form (Woodsmoke Reduction Program)

This agreement records an owner’s and tenant’s terms for participating in the Woodsmoke Reduction Program and is signed by both parties.

What this form is

The agreement sets out owner and tenant responsibilities for replacing an operating, non-EPA-certified wood-burning device used as a primary heat source through the Woodsmoke Reduction Program. It covers access for inspection and installation, the owner’s two-year rent and eviction commitment, ownership of the replacement device, and tenant training. Both parties review the program application and sign and date the agreement; submitting an application does not guarantee funding.

Who needs it

A property owner and current tenant who are participating together in the Woodsmoke Reduction Program should complete and sign this agreement.

How to submit it

The document provides no submission address or email. 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 owner and tenant sign and date the agreement, and it identifies no notarized attachment or related step.

How to submit this form

  1. 1

    Download The Agreement

    Download the Owner/Tenant Agreement PDF.

  2. 2

    Complete The Agreement

    Enter the tenant, owner, and property details, then review the agreement conditions together.

  3. 3

    Gather Application Materials

    Review the Woodsmoke Reduction Program application and its Applicant Certification with both parties.

  4. 4

    Sign And Date

    The tenant and owner each sign and date the agreement.

  5. 5

    Submit To The City

    The document gives no submission address or email; check the city website for current contact details.

Frequently asked questions

What does the Owner/Tenant Agreement cover?
It sets out participation terms for device replacement, including property access, the replacement device’s ownership, the owner’s rent and eviction commitment, and tenant training.
Who needs to sign the agreement?
The current tenant and owner sign and date the agreement. The form says both parties must review the program application and agree to its Applicant Certification.
Do I need a notary for the Owner/Tenant Agreement?
No. The document is signed without a notary; the owner and tenant sign and date it, and it identifies no notarized attachment or related step.
How do I submit the Owner/Tenant Agreement?
The document provides no submission address or email. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Owner/Tenant Agreement Form (Woodsmoke Reduction Program) doesn’t need a notary — but if you have another Susanville form that does, a commissioned online notary can help.