Please Note: This version of the "Portland Application Denial and Adverse Action Letter" is
for use with Rental Properties within the City of Portland, Oregon ONLY.
To switch to the standard Oregon State version of this form click the button below.
Required entries are indicated
by blue icons or *
NONDISCRIMINATION POLICY
- 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 identification. One must include a photograph.
- We will accept the first qualified Applicant(s).
Acceptable Forms of ID
- SSN
- Valid Permanent Resident Alien Registration Receipt Card
- Immigrant Visa
- ITIN
- Non-immigrant Visa
- Any government-issued ID regardless of expiration date
- Any ID or combination of ID’s that would permit a reasonable verification of identity
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 pending bankruptcy excepting
nonpayment balances that accrued during the COVID-19 Protected Period (April 1, 2020 – Febrary 28,
2022.)
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.
Explanations/Exceptions
- 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.
- Applicants may be rejected based on the demeanor in which they treat the Owner/Agent or other
parties present.
FALSIFICATION OR MISREPRESENTATION OF ANY PART OF THE APPLICATION WILL BE
GROUNDS FOR DENIAL.
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.
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:
- Application is incomplete
- Applicant fails to provide information to confirm identity or income
- Applicant has intentionally withheld or misrepresented required information.
- 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.
Screening Guidelines – Low Barrier
In addition to the screening criteria listed on page 1, Low Barrier screening criteria will be applied as
follows:
- Criminal History
Denial for criminal history will not include the following:
- An arrest that did not result in conviction, unless pending on the date of Application;
participation in or completion of, a diversion or a deferral of judgment program; a
conviction that has been judicially dismissed, expunged, voided or invalidated; a conviction
for a crime that is no longer illegal in Oregon; a conviction or determination through the
juvenile justice system; a misdemeanor conviction with a sentencing date older than three
years; or a felony conviction with a sentencing date older than seven years.
- Credit History
Screening for credit history may require a credit score of at least 500, but will not include:
- Insufficient credit history; past due collections less than $1000; damage balances owed to
prior Landlords of less than $500; discharged bankruptcy; Chapter 13 bankruptcy under active
repayment; medical, vocational or educational training debt.
- Rental History
Screening for rental history will not include the following:
- Eviction history if the case was dismissed or won by the Applicant; an eviction judgment
more than three years old; an eviction judgment less than three years old if the basis for
the action was a No-Cause Notice, or judgment was issued by default and Applicant can
provide credible evidence that they had already vacated the unit at the time the notice was
served; or a judgment that was subsequently set aside or sealed.
- Owner/Agent will only deny for rental history reports that indicate Rent defaults; three or
more material violations of the Rental Agreement one year prior to application AND that
resulted in notices issued to Tenant; an outstanding balance due for a prior tenancy over
$500; termination of tenancy for cause; or insufficient rental history unless Applicant in
bad faith withholds rental history information.
Low Barrier screening criteria for non-financially responsible Tenants is
identical to above , but only for factors related to maintaining the property, and for conduct
consistent with the health, safety and peaceful enjoyment of the premises by other Residents or the
Landlord and to evaluate prospective Tenants’ ability to comply with the Landlord’s Rules of Residency.
A Landlord may not screen a Non-Applicant Tenant for financial responsibility.
Upon receipt of Application, Owner/Agent will notify each Applicant in writing of the determination
within two weeks of completing the evaluation. If Application is denied, Applicant will receive an
explanation of the reasons and a further explanation of why any Supplemental Evidence provided did not
adequately compensate for the factors leading to the denial.
I certify that I received a copy of this form and hereby authorize Owner/Agent to do a credit check and
make any inquiries deemed necessary to evaluate my tenancy and credit standing – including but not
limited to, credit reports. I understand that I have the right to dispute the accuracy of any
information provided by a screening service or credit reporting agency.
Please Note: Signature field must be
filled in and signed after printing.
The following forms are required to be
included with this form by the City of Portland, OR
Right to Request a
Modification or Accommodation Notice
Required Under Portland City Code Title
30.01.086.C.3.B
For residentil rental units within Portlnd city limits, a landlord is required to include this notice with
application forms for the rental of a dwelling unit.
State and federal laws, including the Fair Housing Act, make it illegal for housing providers to
refuse to make reasonable accommodations and reasonable modifications for
individuals with disabilities. All persons with a disability have a right to request and be provided a
reasonable accommodation or modification at any time, from application through to termination/eviction.
Some examples of reasonable accommodations include:
- Assigning an accessible parking space
- Transferring a tenant to a ground-floor unit
- Changing the rent payment schedule to accommodate when an individual receives public benefits
- Allowing an applicant to submit a housing application via a different means
- Allowing an assistance animal in a "no pets" building. More information about assistance animals is
available here:
https://www.hud.gov/program_offices/fair_housing_equal_opp/assistance_animals
Some examples of reasonable modification include:
- Adding a grab bar to a tenant's bathroom
- Installing visual smoke alarm systems
- Installing a ramp to the front door
Under fair housing laws, a person with a disability is someone:
- With a physical or mental impairment that substantially limits one or more major life activities of the
individual;
- With a record of having a physical or mental impairment that substantially limits one or more major life
activities of the individual;or
- Who is regarded as having a physical or mental impairment that substantially limits one or more major life
activities.
Major life activities include, but are not limited to seeing, walking, reaching, lifting, hearing, speaking,
interacting with others, concentrating, learning, and caring for oneself.
Email: RentalServices@portlandoregon.gov
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Reasonable Accommodations
A reasonable accommodation is a change or exception to a rule, policy, practice, or service that may be
necessary for a person with a disability to have an equal opportunity to use and enjoy a dwelling. This
includes public use and common spaces or fulfilling their program obligations. Any change in the way things
are customarily done that allows a person with a disability to enjoy housing opportunities or to meet
program requirements is a reasonable accommodation.
All housing or programs are required to make reasonable accommodations. Housing providers may not require
persons with disabilities to pay extra fees or deposits or any other special requirements as a condition of
receiving a reasonable accommodation.
Reasonable Modifications
A reasonable modification is a structural change made to the premises in order to afford an individual with a
disability full enjoyment of the premises. Reasonable modifications can include structural changes to
interiors and exteriors of dwellings and to public use and common areas.
Under federal law, public housing agencies, other federally assisted housing providers, and state or local
government entities are required to provide and pay for structural modifications as reasonable
accommodations/modifications. For private housing, the person requesting the reasonable modification will
need to cover the costs of the modification.
Verification of Disability
In response to an accommodation or modification request and only when it is necessary to verify that a person
has a disability that is not known or apparent to the housing provider, they, can ask an applicant/tenant to
provide documentation from a qualified third party (professional), that the applicant or tenant has a
disability that results in one or more functional limitation. If the disability-related need for the
requested accommodation or modification is not known or obvious, the housing provider can request
documentation stating that the requested accommodation or modification is necessary because of the
disability, and that it will allow the applicant/tenant access to the unit and any amenities or services
included with the rental equally to other tenants.
A housing provider cannot inquire into the nature or extent of a known or apparent disability or require that
an applicant or tenant release his or her medical records. Housing providers can require that the
verification come from a qualified professional, but they cannot require that it be a medical doctor.
Nondiscrimination laws cover applicants and tenants with disabilities, as well as applicants and tenants and
without disabilities who live or are associated with individuals with disabilities. These laws also prohibit
housing providers from refusing
Email: RentalServices@portlandoregon.gov
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Portland City Code 30.01.086.C.3.B
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to rent to persons with disabilities, making discriminatory statements, and treating persons with
disabilities less favorably than other tenants because of their disability.
Under fair housing laws, it is illegal for a housing provider to deny reasonable accommodations and
reasonable modifications to individuals with disabilities. If wrongfully denied an accommodation or
modification contact HUD or the Fair Housing Council of Oregon. Time limits apply to asserting any legal
claims for discrimination.
Call HUD toll-free at 1-800-669-9777 or TTY 1-800-927-9275 or visit
https://www.hud.gov/program_offices/fair_housing_equal_opp/complaint-process
HUD will investigate at no cost to the complainant.
For more information about reasonable accommodations and modifications visit
www.hud.gov/program_offices/fair_housing_equal_opp/reasonable_accommodations_an d_modifications
Call the Fair Housing Council of Oregon at (503) 223-8197 ext. 2 or
http://fhco.org/index.php/report-discrimination.
Email: RentalServices@portlandoregon.gov
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Portland City Code 30.01.086.C.3.B
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If you believe you have been harassed or discriminated against because of
your race, color,
national origin, religion, gender, familial status, disability, marital status, source
of income,
sexual orientation including gender identity, domestic violence, type of occupation,
or
age over 18 seek legal guidance regarding your rights under Fair Housing law.
For translation or interpretation, please call 503-823-1303
TTY at
503-823-6868 or Oregon Relay Service at 711
503-823-1303: Traducción e interpretación | Chuyển Ngữ hoặc Phiên Dịch |
翻译或传译
Письменныйили устный перевод | 翻訳または通訳| Traducere sau Interpretare
번역 및 통역 | Письмовий або усний переклад | Turjumida ama Fasiraadda
ةيوفشلاو ةيريرحتلا ةمجتر لا | ການແປພາສາ ຫຼື ການອະທິ ບາຍ
This requirement is in addition to any other rights and responsibilities set forth in the Oregon
Residential
Landlord and Tenant Act under Oregon Revised Statute Chapter 90, and Portland
Landlord-Tenant Law under
Portland City Code Title 30.
The information in this form is for educational purposes only. You
should review appropriate
state statute, city code, and administrative rule as necessary. If you need
legal guidance, or are
considering taking legal action, you should contact an attorney.
Email: RentalServices@portlandoregon.gov
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Portland City Code 30.01.086.C.3.B
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