Lock change request to my landlord
A printable from Survivor Safety Complete Guide. Fill it in by hand. Nothing you write is collected by this website.
Lock change request to my landlord
Date: ____________________
To: ____________________ (landlord or property manager)
My name: ____________________ My address and unit: ____________________
I am asking you to change the locks to my unit under California Civil Code section 1941.5. The person who committed abuse or violence against me or a member of my household does not live in my unit.
I have attached (check one):
- A restraining order, emergency protective order or protective order
- A police report
- A statement from a qualified third party
- Other proof: ____________________
The law asks that the locks be changed within 24 hours of receiving this request and documentation, and that I be given a key to the new locks.
Please contact me safely at: ____________________
Signature: ____________________
Keep a record
- Date and time I gave this to the landlord: ____________________
- How I gave it (in person, email, mail): ____________________
- If locks are not changed in 24 hours, I may change them myself with locks as good or better, tell the landlord within 24 hours, and give them a key. The landlord must pay me back within 21 days.
From Survivor Safety Complete Guide. Facts checked October 21, 2026. Free information, not legal or medical advice.
