For More Info

Complete this form

You must provide a copy of this declaration to your landlord, owner of the residential property where you live, or other person who has a right to have you evicted or removed from where you live.

From now until Dec. 31, renters who aren’t able to pay their landlords because of loss of income, loss of employment, or extraordinary medical expenses can be protected from evictions.

Under a new order from the Centers for Disease Control and Prevention, renters can ask for eviction suspension protection from their landlords. The process requires renters to file this legal declaration form. It states that:

  • The renter expects to earn less than $99,000 in 2020 (or $198,000 if filing taxes jointly), was not required to file taxes in 2019, or received a stimulus check in 2020.
  • The renter used their best efforts to try to get rent or housing assistance from the government.
  • The renter experienced a substantial loss of income, loss of employment/work hours, or extraordinary out-of-pocket medical expenses in 2020.
  • The renter will make use their best efforts to make partial rent payments that are as close to the full amount as possible.
  • If the renter lost their housing at this time, they would likely become homeless or have to share space with another household.

Landlords would still be able to evict renters if they do not meet these requirements or for other reasons like property damage, criminal activity, or expiration of their lease agreement.

Renters could be fined or sentenced to jail if they make false claims about their financial hardship.

Importantly, this is not a rent forgiveness program—renters will still owe unpaid rent amounts plus any fees, fines, or penalties their landlords charge.

The CDC issued this order to help stop the spread of COVID-19. Housing stability helps protect public health because individuals are more likely to follow social distancing guidance and stay-at-home orders.

The CDC estimates that 30 to 40 million Americans are at risk of eviction during the pandemic. If they become homeless, they are at a far greater risk of catching and spreading COVID-19.