Los Angeles Housing Department

Rent Stabilization Ordinance
Tenant Service Request Form

SPECIAL NOTICE:The Rent Stabilization Ordinance (RSO) covers rental housing units within Los Angeles city limits. Telephone (213) 808-8888 or 1-866-557-RENT [7368] for more information on rental units covered by the RSO.

SUBJECT: This complaint can be filed by any tenant who has documentation that shows that an owner/manager/agent has committed a violation of the Rent Stabilization Ordinance of the City of Los Angeles.

This form is intended to be used by the public as an easy way of submitting Rent Stabilization Ordinance complaints electronically.

Please complete the items below and select Submit.

For additional information please call 1-866-557-7368. You must be using a Forms-capable WWW client to be able to submit comments.

If your Internet browser does not allow you to submit this form, please use the pdf version or e-mail your request to: RSO@lahd.lacity.org

Please enter the your information(include apartment/unit number):

* This information is required in order to properly process your request.  Please provide a telephone number or email address where we can reach you.


*Your Name: 

*Address: 

*City:     *Zip Code: 

*Phone (1):         Phone (2): 

Email Address: 


Owner's Name: 
          
Address: 
                        	
City:     State:    

Zip Code:   Phone: 

Manager's Name: 

Address: 

City:  Zip Code: 

Phone:
Type of Rental Unit:

How did you find out about the Rent Stabilization Ordinance?(please select one of the following):

            Other (please specify)
How much is your current rent?

How many bedrooms do you have?

How many people live in your home?

How long have you lived at this address? yrs. mos.

*Reason For this Complaint:Please mark the box(es) indicating the type of violation(s) that occurred. 
 Your rental unit is not registered.
  (CompleteSection A below).

 Notice to Quit (Eviction Notice) is based on false and deceptive grounds.
   (Complete section B below).

 Non-payment of Relocation Assistance. (Complete section C below).

 Illegal Rent.  (Complete section D below).

 Reduction of Services.  (Complete section E below).


A.  UNIT(S) NOT REGISTERED:

 1)  Is your unit registered?   Yes   No

B.  NOTICE TO QUIT BASED ON FALSE AND DECEPTIVE GROUNDS:

    1)  Have you received a written notice to move out?   Yes   No

        If yes, give date of notice  


C.  NON-PAYMENT OF RELOCATION ASSISTANCE FEES:

    1) What reason was stated for requesting you to move?

    

D.  ILLEGAL RENT

    1)  Give date when the illegal rent increase was demanded or 
        collected. 

    2)  What was the amount of rent before the increase?  

    3)  What was the amount of rent after the increase?  

    4)  Who pays the gas and/or electricity bill for your unit?
    
        Electricity:     Gas:   
     
E.  ILLEGAL REDUCTION OF SERVICES:

    1) What was the service that you are no longer getting?
Reset: Submit:

Thank you for your input.
If your Internet browser does not allow you to submit this form, please use the pdf version or e-mail your request to
RSO@lahd.lacity.org

rentfrm.htm (rev 04.20.05)