Rental Refusal Form
Document details of a rental application denial or refusal.
Applicant First Name
*
Applicant Last Initial
*
Rental Property Address or Name
*
Rental Application Reference Number (if applicable)
Date of Rental Application
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Date of Refusal
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Refusal
*
Incomplete application
Does not meet rental criteria
Property already rented
Insufficient references
Other
Additional Comments or Notes
Name of Person Completing This Form
*
Role or Position
Submit
Should be Empty: