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Please Note: This version of the Application Screening Guidelines form is for use with Rental Properties outside of the City of Portland, Oregon ONLY.
To switch to the correct City of Portland version of this form click one of the buttons below.


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


  • We offer an Application form to everyone.
  • We review completed Applications in the order in which we receive them.
  • We may require up to 
     business days to verify information on an Application.


  • We do business in accordance with Fair Housing Law.
  • We do not discriminate among Applicants based on membership in a protected class including, race, color, religion, sex, sexual orientation, national origin, disability, marital status, familial status, source of income, or any other protected class as defined in any federal, state or local law.


Complete Application

  • Each Applicant over the age of 18 must submit an individual Application.
  • Applications must be signed and dated. We will not review incomplete Applications.
  • Applicants must show two pieces of government-issued identification. One must include a photograph.
  • We will accept the first qualified Applicant(s).

Prior Rental History

  • Favorable rental history of 
     years must be verifiable from unbiased and unrelated sources.
  • No evictions within the past five years. We do not consider evictions which took place five years or more ago, nor do we consider evictions which resulted in a dismissal or a general judgment for the Applicant.
  • Applicants must provide the information necessary to contact past Landlords.


  • Household income shall be at least 
      times the Rent (excluding utilities).
  • Income must be verifiable through pay stubs or employer contact; award letters for Social Security, alimony, child support, welfare, utility or housing assistance; current tax records; or bank statements.

Credit History

  • We may require you to submit a copy of your credit report obtained within the past 30 days.
  • Negative credit reports may result in denial of application. Negative reports include, but are not limited to: late payments, collections, judgments, total debt load, and bankruptcy.

Criminal History

  • Criminal convictions or pending charges which may result in an application denial include, but are not limited to: drug-related crimes, person crimes, sex offenses, any crimes involving financial fraud (including identity theft or forgery), or any other crime that would adversely impact the health, safety or right of peaceful enjoyment of the premises of the Residents or Owner/Agent but not including pending charges or crimes that are no longer illegal in the state of Oregon, or charges that are pending but for which the Applicant is presently participating in a diversion, conditional discharge or deferral of judgment program on the charges..
  • Criminal history will be evaluated on a case-by-case basis, taking into consideration the nature and severity of the incidents that would lead to denial, the number and type of incidents, the time that has elapsed since the date the incidents occurred, and the age of the individual at the time the incidents occurred.
  • Applicants are encouraged to provide supplemental information to explain, justify or negate the relevance of potentially negative screening outcomes.


  • All Applicants may submit a written explanation with their Application if there are extenuating circumstances which require additional consideration.
  • If, after making a good faith effort, we are unable to verify information on your Application, or if you fail to pass any of the screening criteria, the application process will be terminated.
  • Exceptions may be made for Applicants with increased Deposits or qualified Co-Signers at the sole discretion of the Owner/Agent.
  • Applicants may be rejected based on the demeanor in which they treat the Owner/Agent or other parties present.

Approval/Acceptance Process

If your Application is approved, please be advised of the following process and timelines for move-in:

  • Upon notification of Application approval, Applicant must tender the Deposit-to-Hold in the full amount of the required Deposits, in certified funds only within two business days, unless otherwise agreed. Failure to submit funds timely may result in denial of tenancy.
  • All Applicants must sign and return the Deposit-to-Hold Agreement. If Applicant is out of the area, signature must be notarized and original sent to Owner/Agent promptly. Failure to sign the Deposit-to-Hold or mail notarized forms within two business days may result in denial of tenancy.
  • Rent begins the day after the Owner/Agent receives the Deposit-to-Hold or the day the unit is move-in ready, whichever comes last.
  • Upon notification of Move-in Date, Tenant must transfer all applicable utilities as outlined below to begin on that date. Failure to set up utilities by the scheduled Move-in Date (regardless of whether or not the Tenant(s) takes occupancy on that date) may result in denial of occupancy until such time as utilities are transferred and any amounts owing are paid.
  • If the Rental Agreement is secured by a Co-Signer, all finalized, original Co-Signer documents must be presented at time of move in, or transfer of possession will not occur until they are delivered, but Rent will accrue from the original Move-in Date.
If an application or a group of applications is/are approved, Applicant(s) will have
 business days to either execute a Rental Agreement, pay all moneys due, and take possession of the unit if the unit is rent-ready.
If the unit is not rent-ready, Applicant must submit the Security Deposit in full within the above-referenced time frame, and sign a Deposit to Hold Agreement in order to secure their right to rent the unit. Failure to follow through within the time frame indicated will be deemed a refusal of the unit, and Applicant(s) will lose their place in line.

Rent accrues from the date the property is ready or the Date of Approval, whichever comes last, regardless of when Applicant/Tenant moves into the Dwelling Unit.

Applications are valid for 60 days from the date of submission for any properties owned or managed by Owner/Agent.

Owner/Agent may refuse to accept an Application under the following circumstances:

  1. Application is incomplete.
  2. Applicant fails to provide information to confirm identity or income.
  3. Applicant has intentionally withheld or misrepresented required information.
  4. Applicant has verifiable repeated violations of the Rental Agreement with the same Landlord. Most recent violation must have occurred within the past 365 days from the date the Application is submitted, and past Landlord must provide copies of the violation notices.

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

Applicant   Date

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PO Box 20862, Keizer, OR 97307
eMail: forms@oregonrentalhousing.com