Rental Inspection Photo/Video Submission Form

Applicant Information

Page 1 of 2

About this Form

Following a housing inspection, an inspector may allow corrections to be documented via photo or video submission. Please only submit this form if permitted by your inspector. Submitted photos and videos will be reviewed by an inspector for compliance.

First Name*field type single line
Input blocked. Maximum character limit of 40 characters reached.
Middle Namefield type single line
Input blocked. Maximum character limit of 40 characters reached.
Last Name*field type single line
Input blocked. Maximum character limit of 40 characters reached.
Email Address*field type email
Phone Number*field type single line
Input blocked. Maximum character limit of 4000 characters reached.

Rental Property Address*field type single line
Number (ex. 4001)
Input blocked. Maximum character limit of 42 characters reached.
*field type single line
Street Name (ex. W River)
Input blocked. Maximum character limit of 40 characters reached.
*field type drop-down
Type (ex. Pkwy)
*field type drop-down
Direction (ex. NW)
Rental Unitfield type single line
(ex. 101 or B)
Input blocked. Maximum character limit of 40 characters reached.
Rental Certificate*field type single line
(ex. R21-0145H)
Input blocked. Maximum character limit of 40 characters reached.

Select the inspector you are working with*field type drop-down
Date Submittedfield type date
Date will auto populate with today's date when submitted.
Type of Submission*field type checkbox
Type of SubmissionPhotosVideos
Photo Upload*field type file upload
Please use descriptive names for all uploaded files. Maximum file size is 250 MB and there is a limit of 3 uploads.
Drop files here
You have reached the maximum file limit: 3.
Video Upload*field type file upload
Please use descriptive names for all uploaded files. Maximum file size is 250 MB and there is a limit of 3 uploads.
Drop files here
You have reached the maximum file limit: 3.
File types allowed .mp4, m4a, m4p, m4r, m4v, mov, wmv, flv, avi
Please share any comments relevant to this form that you would like to share with the Community Development Department:field type multi line
Input blocked. Maximum character limit of 500 characters reached.
Document Categoryfield type single line
Input blocked. Maximum character limit of 4000 characters reached.