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FORM #19 - Emergency Entry Notice


  • Tenant(s):
  • Tenant(s):
  • Address: Unit:
  • City: , OREGON Zip:

Due to an emergency, your rental unit was entered on: ___________________________
at: ____________________ ___a.m. ___p.m.
The person that entered was: ________________________________________________


Nature of emergency: ____________________________________________

Action Taken: ____________________________________________

This notice has been left at the rental unit in accordance with ORS 90. If you have any questions or concerns, please notify Owner/Agent in writing immediately.


Owner/Agent Signature: ___________________________ Date: __________________

  • Owner/Agent:
  • Address:
  • City: , State: Zip:
  • Telephone: Email:

If notice is served by mail ONLY, the ending date must include an additional four (4) days to allow for the delivery of notice, including date of mailing. This notice, if mailed, shall be mailed First Class Mail ONLY (not certified, registered, etc.).
Owner/Agent does not waive the right to terminate by simultaneously or subsequently served notices.

     

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1462 Commercial St. NE, Salem, OR 97301
Phone: 503-364-5468 | Fax: 503-585-8119

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