BOARD OF SUPERVISORS

Hilda L. Solis Mark Ridley-Thomas

Sheila Kuehl Janice Hahn

Kathryn Barger

COUNTY OF LOS ANGELES DEPARTMENT OF CONSUMER

AND BUSINESS AFFAIRS "To Enrich Lives Through Effective and Caring Service"

Joseph M. Nicchitta Director

Joel Ayala Chief of Staff

Rafael Carbajal Chief Deputy

• Phone: (833) 223-7368• Online: rent.lacounty.gov• Email: rent@dcba.lacounty.gov• Direct messaging:@LACountyDCBA on Twitter, Facebook, and Instagram

500 W. Temple Street, Room B-96, Los Angeles, CA 90012-2706 Telephone (833) 223-RENT (7368) * Fax (213) 687-1137 * Website: rent.lacounty.gov

COVID-19 Landlord-Tenant Rent Resolution How it Works

The Department of Consumer and Business Affairs (DCBA) is here to help landlords and tenants impacted by COVID-19. Through our Rent Resolution process, tenants and landlords can work out payment arrangements for any unpaid rent or alternative solutions during and after the moratorium period.

Voluntary Participation For this process to begin, both parties (e.g., landlord and tenant) must agree to participate.

How it works The rent resolution process is informal. We will speak with you and the other party to help resolve your dispute. This can occur with all parties present during joint or separate virtual meetings or telephone conversations.

OutcomeWe do not decide the outcome of a dispute but are here to help you reach a mutual agreement. We do not represent either party and do not make decisions, judgments or take sides.

Legal Advice We do not give legal advice or opinions and do not make a legal rulings.

Cost Our services are provided at no charge.

If you have questions, or would like more information, contact us:

RENT RESOLUTION (COVID-19 / MORATORIUM)

Complete and return this form to: COUNTY OF LOS ANGELES DEPARTMENT OF

CONSUMER AND BUSINESS AFFAIRS Email: Rent@dcba.lacounty.gov

Telephone: (833) 223-RENT (7368)

INSTRUCTIONS: Fill out this form completely. Please type or write clearly in ink. Attach copies of documents (don’t include originals) that support your request, such as contracts, receipts, notices, etc.

PARTY REQUESTING RENT RESOLUTION MY DISPUTE IS WITH: Name: Name:

Address: Address:

City, State, Zip Code: City, State, Zip Code:

Telephone: Alternate Telephone: Telephone: Alternate Telephone:

E-mail: Fax: E-mail:

Rental Property Address: Rental Address Residential Commercial

Court Case Filed? No Yes (Court Date:)

Referred By: (check appropriate boxes)

Check the following: A

PRIMARY LANGUAGE PARTICIPANT DESCRIPTION

DCBA Website Government/Public Entity County Bar Association/Attorney

Courts Non-Profit Agency Unknown/Decline to State

Other:

Armenian Russian Tenant

Cambodian Landlord

Chinese Tagalog Mobilehome Owner

English Vietnamese Mobilehome Park Owner

Decline to State Property Management Company

Attorney

Other: Other:

Spanish

Farsi

Korean

Fax:

Court Case #

Please summarize your request for the other party. The information on this page may be shared with the other party in the dispute. Please type or print information legibly.

What do you consider to be a fair and reasonable settlement of this dispute?

Please read the following statements carefully before signing below:

Signature: Date: Signature of party requesting rent resolution

Rent Reduction Lease/Rental Agreement Cancellation Payment Plan

Other:

______

I certify that all the information that I have given is true, correct and complete to the best of my knowledge. I wish to resolve this dispute through the Los Angeles County Department of Consumer and Business Affairs. I understand that DCBA will follow the terms set forth by the Tenant Eviction Moratorium guidelines and adhere to the terms of the Eviction Moratorium when attempting to resolve a dispute.

I understand that neither I nor the other party are required to enter into an agreement, resolving the dispute, and that, under the Tenant Eviction Moratorium, residential tenants or commercial tenants with 9 or fewer employees have up to twelve (12) months following the end of the moratorium period to pay back any unpaid rent. Commercial tenants with 10 or more but less than 100 employees have up to six (6) months following the end of the moratorium period to pay back any unpaid rent.

______

______ I understand that this process is not confidential and may be disclosed subsequently.