San Francisco Residential Rent Stabilization and Arbitration Board
519 Report of Alleged Wrongful Eviction 5/21/20
25 Van Ness Avenue #320 Page 3 of 4 Phone 415.252.4602
San Francisco, CA 94102-6033
REPORT OF ALLEGED WRONGFUL EVICTION
I am filing this petition for the following reason(s):
I received a written Notice to Quit or Vacate my rental unit (an eviction notice)
(Date of Receipt of Notice) (First Name) (Last Name)
The eviction notice requires me to vacate my rental unit by:
Yes, I have included a copy of the Notice to Quit or Vacate with this report.
the landlord orally told me to vacate my rental unit and/or
(Date(s) of Receipt of Notice)
through conduct has tried to make me move out by: .
Yes, I have included a true statement fully describing the basis for my claim on page 4.
Please complete the following:
My rent is due on the following date: My current rent is $
I offered to pay rent. Yes No If Yes, state amount $ and date of offer:
Did the landlord accept the rent? Yes No If No, please explain briefly:
I have vacated my rental unit. Yes No If Yes, state date of move-out:
An Unlawful Detainer (eviction) action has been filed in Superior Court: Yes No
If Yes, I understand that the Rent Board will not carry out an investigation on eviction cases filed in
Superior Court. I am responsible for filing my own response in Superior Court within 5 day of receiving
the unlawful detainer summons and complaint.
Do you live in the same unit with the owner? Yes No
If Yes, use t
he space provided on page 4 to describe the unit and state whether there are other
occupants in the unit.
Do you live in the same unit with a master tenant? Yes No
If Yes, did the master tenant give you written notice prior to commencement of your tenancy, that your
tenancy is not subject to the “just cause” eviction provisions of the Rent Ordinance? Yes No
(Please attach a copy of the notice.)