My home record (keep at home, take to legal help)
A printable from Housing and Tenant Rights Complete Guide. Fill it in by hand. Nothing you write is collected by this website.
My home record (keep at home, take to legal help)
My home Address: ____________ Landlord or manager name and phone: ____________ Date I moved in: ____________ Monthly rent: ____________ Deposit paid: ____________ Date of last rent increase: ____________ Amount: ____________
Rent payments (date, amount, how I paid, receipt yes or no)
Repairs I asked for (date, problem, how I asked, what happened)
Notices I got (date, type of notice, how I got it)
Threats or harassment (date, time, exact words, who was there, text or in person)
Check what applies:
- My rent went up more than 10% in 12 months
- I got a rent increase by text or phone only
- My home has mold, leaks, pests, no heat or no hot water
- My landlord came in without notice
- My landlord threatened to call immigration
- I was locked out or a utility was cut off
- I got court papers (date: ________ )
Free help: CLSEPA 650-326-6440. Legal Aid Society of San Mateo County (650) 517-8911. Rent help: 211.
Do not write your immigration status on this sheet.
From Housing and Tenant Rights Complete Guide. Facts checked October 21, 2026. Free information, not legal or medical advice.