Unlock hundreds more features
Save your Form to the Dashboard
View and Export Results
Use AI to Create Forms and Analyse Results

Sign UpLogin With Facebook
Sign UpLogin With Google

Landlord and Tenant Disclosure Form Template

Streamline Your Rental Agreements with Our Disclosure Template

Navigating the complexities of landlord-tenant relations can be daunting without the right tools. This Landlord and Tenant Disclosure Form template is designed to help you clearly communicate important information between landlords and tenants, ensuring transparency and compliance. By using this template, you can easily document obligations, manage tenant consent, and protect your property while fostering a positive rental experience. Save time with ready-to-use sections and customize it as per New York State requirements. Explore the live template to start streamlining your agreements today.

Landlord or owner full name
Landlord or agent email
Landlord or agent phone
Tenant full name
Tenant email
Tenant phone
Rental property address (street, city, state/province, postal code)
Unit or apartment number (if applicable)
Disclosure date
Lease type
Fixed term lease
Month-to-month tenancy
Week-to-week tenancy
Other
Please Specify:
Lease start date
Lease end date (if applicable)
Monthly rent amount (enter currency and amount)
Security deposit amount (enter currency and amount)
Are any move-in fees nonrefundable?
Yes
No
Not applicable
Is the unit subject to rent control or rent stabilization?
Yes
No
Not applicable
Unknown
Year property was built (YYYY)
Lead-based paint disclosure and EPA pamphlet provided (for homes built before 1978)?
Yes, provided
No, not provided
Not applicable (built 1978 or later)
Unknown
Working smoke alarms installed and tested?
Yes
No
Unknown
Carbon monoxide alarms installed and tested (if required)?
Yes
No
Not applicable
Unknown
Known environmental hazards (select all that apply)
Please Specify:
Water intrusion, leaks, or flooding history
Yes, currently
Yes, previously resolved
No known issues
Unknown
Pest issues in the past 12 months (select all that apply)
Bed bugs
Cockroaches
Rodents
Termites
Ants
None known
Other
Please Specify:
Known structural or system issues (select all that apply)
Roof
Foundation
Electrical
Plumbing
HVAC
Appliances
Windows or doors
None known
Other
Please Specify:
Utilities included in rent (select all that apply)
Water and sewer
Electricity
Gas
Trash and recycling
Internet
Cable/TV
None included
Other
Please Specify:
Responsibility for landscaping or snow removal
Landlord
Tenant
Shared
Not applicable
Unknown
Parking availability
Included - assigned space
Included - unassigned
Available for additional fee
No parking provided
Not applicable or unknown
Smoking policy
Smoking prohibited on premises
Smoking allowed inside unit
Smoking allowed in designated areas only
Unknown
Pet policy
Pets not allowed
Pets allowed with restrictions
Pets allowed
Service or assistance animals permitted as required by law
Unknown
Homeowners association or community rules apply and were provided
Yes, provided
No, not provided
Not applicable
Unknown
Audio or video recording devices on or around the property
None
Exterior only
Common areas only
Interior devices present
Unknown
Open building, housing, or code violations known
Yes
No
Unknown
Flood risk or inundation disclosure notice provided (if required)
Yes
No
Not applicable
Unknown
Required disclosures delivered to tenant (select all that apply)
Please Specify:
Party with legal authority to lease
Owner on title
Authorized property manager/agent
Sublessor with consent
Not provided
Unknown
Emergency contact for repairs and emergencies provided
Yes
No
Landlord/Owner or Agent certifies the above disclosures are accurate to the best of their knowledge
Strongly disagree
Disagree
Neither
Agree
Strongly agree
Landlord/Owner or Agent name (as signature)
Landlord/Owner or Agent signing date
Tenant name (as signature)
Tenant signing date
Tenant acknowledges receipt and understanding of the disclosures listed above
Strongly disagree
Disagree
Neither
Agree
Strongly agree
{"name":"Landlord or owner full name", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Landlord or owner full name, Landlord or agent email, Landlord or agent phone","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
Paper art illustration depicting a landlord and tenant disclosure form for a legal article

When to use this form

Use this disclosure when you start or renew a lease, add a roommate, or need written consent to share tenant information with screening services, insurers, utilities, or an HOA. It helps you meet state requirements (such as lead paint, bedbug history, flood risk, or entry rules) and set clear expectations about rent, fees, and communication. Pair it with the Tenant screening form to request background authorization, the Rental reference form to confirm prior tenancy, and the Rent schedule form to outline due dates and amounts. Landlords reduce disputes and show compliance; renters see what data is collected, who may receive it, and agree up front.

Must Ask Landlord and Tenant Disclosure Questions

  1. What personal information do you authorize us to collect, use, and share for screening, tenancy management, and legal compliance?

    Clear consent lets you lawfully share limited data with service providers and document your process. It reduces privacy disputes and shows exactly how you will handle sensitive information.

  2. Have you received and acknowledged the required property and safety disclosures (for example, lead-based paint, bedbugs, mold, flood risk, and smoking policy)?

    This acknowledgment helps you meet state rules and proves delivery of notices. It prevents later claims that a risk or rule was hidden.

  3. What rent amount, due date, payment method, and late-fee policy do you acknowledge?

    Stating these basics in one place removes ambiguity and aligns expectations. It supports collections and avoids avoidable late-fee disputes.

  4. Who will occupy the unit, and will any additional occupants apply separately?

    Knowing all occupants supports safety, capacity limits, and fair-housing compliant screening. If you add a co-tenant, use the Roommate application form to gather their details and consent.

  5. What is your current address and employer contact, and do you consent to verification and reasonable outreach to prior landlords?

    Verifying residence and work details reduces fraud and supports responsible approvals. You can confirm facts quickly with a simple Residence verification form.

More Forms

Copy/Edit Form Send to Recipients Make a Form w/AI Form Builder Must Ask Questions
  • 100% Free - No Catches
  • Collect Responses Today
  • Tailor to your Look & Feel