Petition Forms

Berkeley Rent Stabilization Board Rent Adjustment Petition forms. Talk to a housing counselor about whether a petition is right for your situation, and which forms to use.

Our Rent Adjustment Petitions page has information on the petitions and hearings process.

Tenant Individual Rent Adjustment Petition Forms

Form	Used By: L - Landlord T - Tenant B - Both
Tenant Petition for Individual Rent Adjustment	T
Tenant Schedule A (Illegally High Rent; Unrefunded Security Deposit)	T
Tenant Schedule B (Unpaid Interest on Security Deposit)	T
Tenant Schedule C (Habitability/Deterioration; Decreased Space or Service) Extra Schedule C page(s)	T
Tenant Schedule D (Reduction in the Number of Tenants Allowed)	T

Landlord Individual Rent Adjustment Petition Forms

Form	Used By: L - Landlord T - Tenant B - Both
Landlord Petition for Individual Rent Adjustment -- Multiple Grounds	L
Landlord Schedule A: Capital Improvements	L
Landlord Schedule C: Increased Occupancy	L
Landlord Schedule D: Change in Space or Services	L
Landlord Schedule E: Net Operating Income	L
Landlord Schedule G: Historically Low Rent	L
Landlord Schedule H: Restoration of AGAs	L
Landlord Schedule I: Low Rent Increases 1976-1979	L
Landlord Schedule J: Increased Debt Service	L
Landlord Petition for Capital Improvements -- ONLY	L
Landlord Petition for Historically Low Rent (HLR) -- ONLY	L
Landlord Petition for Increased Occupancy -- ONLY	L
Tenant Declaration of Household Income -- Major Repairs ONLY	T
Tenant Declaration of Household Income -- Historically Low Rent (HLR) ONLY	T
Landlord Petition to Implement Rent Increases Conditionally Granted in Previous Advisory Decision	L
Landlord Petition for Individual Rent Adjustment for Units in Properties With no Vacancy Increases Since 1998 (Regulation 1282)	L
Regulation 1282 Hearing Waiver Form	T
Request to Implement Preliminarily Approved Capital Improvement Increases	L

Other Petition Forms

Form	Used By: L - Landlord T - Tenant B - Both
Agreement of Parties and Waiver of Right to a Hearing	B
Appeal -- Form, instructions, Regulation 1242, blank Proof of Service	B
Appeal of Certificate of Permissible Rent (C Petition)	B
Application for Fee Waiver (Appeal/Petition to Determine Exempt Status ONLY)	B
Petition for the Determination of Eligibility to Set Initial Rent	B
Petition to Determine Exempt Status of Rental Unit	L
Petition for the Determination of Occupancy Status	L
Petition for Rent Withholding for Failure to Register	T
Proof of Service	B
Subpoena/Subpoena Duces Tecum (Application for)	B
Compliance Hearing and Decision Request Form	B
Petition for the Determination of Owner/Relative Move-In or Ellis Act Eviction Relocation Assistance	B
Petition to Determine the Initial Rent for a Non-comparable Replacement Unit	B
How to Request a Continuance	B