Rental Housing Association of WA

Application for Tenancy

Applicant Information

Occupancy Information

List all people with their date of birth that plan to reside with the above applicants. Anyone listed 18 or older must complete a rental application, pay a screening fee and sign all documents:


Personal Background History


Landlords in Seattle are prohibited from requiring disclosure, asking about, rejecting an applicant, or taking an adverse action based on any arrest record, conviction record, criminal history, except for registry information as described in SMC 14.09.025.A.3, SMC 14.09.025.A.4, SMC 14.09.025.A.5, and subject to the exclusions and legal requirements in SMC 14.09.115.

Financial Information



Resident History

Income History

Vehicle Registration

Written permission separate from this application must be obtained to park on premises.

Description of any other vehicles (boat, trailer, RV, motorcycle, etc.) you would like to keep on the property.

Emergency / Personal Contacts


In compliance with the Fair Credit Act and RCW 59.18.257 (2), this is to inform you that a credit investigation involving the statements made on this application for tenancy will be initiated. Any false, fraudulent or misleading information provided on the application may be grounds for denial of tenancy and/or forfeiture of rental or lease agreement. An incomplete application causes delay in processing and may result in denial of tenancy. If you are declined tenancy due to the consumer report, you may obtain a free copy of your credit report from the bureau it was obtained from within 60 days of denial. You also have the right to dispute the accuracy of the report and/or add a consumer statement to the report. This is NOT an agreement to rent and all applications must be approved.

A non-refundable processing fee of $45 is required per applicant for tenant screening fees.

I certify to the best of my knowledge all statements are true. I authorize the owner/agent for initial tenancy and again upon any future lease modifications or renewals to verify the information provided on the application including, but not limited to, obtaining credit reports, character reports, civil and/or criminal records, verifying source of income and rental history. I understand that false, fraudulent or misleading information may be grounds for denial of tenancy and/or forfeiture of my rental or lease agreement.

Formal legal advice and review is recommended for both Resident and Owner prior to selection and use of provided form. RHA does not represent your selection or execution of this form as appropriate for your specific circumstance.

By initialing, I acknowledge having been notified in writing, or by posting, of what types of information will be accessed to conduct the tenant screening and what criteria may result in denial of the application, as required by RCW 59.18.257.