Citrus Heights, CA · Sacramento County
Refusal of Inspection
This form lets a tenant refuse a periodic Rental Housing Inspection Program inspection at a rental property in Citrus Heights.
What this form is
A tenant uses this form to refuse a periodic inspection by the Citrus Heights Rental Housing Inspection Program. It asks for the rental property address, inspection date and time, and the tenant’s initials acknowledging statements about the refusal and inspection program, plus the tenant’s signature, printed name, date, phone, and email.
Who needs it
A tenant who chooses to refuse a periodic inspection by the Citrus Heights Rental Housing Inspection Program can complete this form.
How to submit it
Return the completed form to the Citrus Heights Police Department, 6315 Fountain Square Drive, Citrus Heights, CA 95621; the form lists (916) 727-5500.
About notarization
This document is signed without a notary; it lists no notarized or sworn attachment, so the tenant just signs and dates it.
How to submit this form
- 1
Download the Form
Download the Refusal of Inspection form.
- 2
Complete the Form
Enter the property address and inspection date and time, initial each acknowledgment, and provide the tenant’s signature, date, and contact information.
- 3
Gather Attachments
The form does not list any attachments to gather.
- 4
Submit to the City
Return the completed form to the Citrus Heights Police Department at the address printed on the form.
Frequently asked questions
- What is the Refusal of Inspection form for?
- It lets a tenant refuse a periodic inspection by the Citrus Heights Rental Housing Inspection Program and acknowledge statements about the inspection and program.
- Who completes this form?
- The tenant refusing the periodic inspection completes the form with the property address, inspection date and time, acknowledgments, and contact information.
- Do I need a notary for the Refusal of Inspection form?
- No. The tenant signs and dates this form; it lists no notarized or sworn attachment.
- How do I submit the Refusal of Inspection form?
- Return it to the Citrus Heights Police Department at 6315 Fountain Square Drive, Citrus Heights, CA 95621. The form lists (916) 727-5500.
Need something notarized?
This Refusal of Inspection doesn’t need a notary — but if you have another Citrus Heights form that does, a commissioned online notary can help.