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Form #19 : NOTICE OF EMERGENCY ENTRY

 

Required entries are indicated by blue icons or *

et al (and all others)

Due to an emergency, your rental unit was entered on: 
 
at 
The person that entered was: 

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.

 

Please Note: Signature field must be filled in and signed after printing.

Owner/Agent Signature:   Date:

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