NOTICE OF DISPLACEMENT AND
RELOCATION RIGHTS TO TENANTS
DEPARTMENT OF ECONOMIC AND
COMMUNITY DEVELOPMENT
(650) 829-6620
E-MAIL: [email protected]
*Please select at least two forms of delivery to tenant(s) ☐ Personal/ Hand delivery Date: ___________________
☐ USPS Mail ☐ Email
☐ USPS Certified Mail ☐ Text
☐ Other: ___________________
Dear Tenant:
This notice is provided pursuant to Chapter 8.70 (“Residential Tenant Relocation”) of the South San Francisco Municipal Code. You are asked to vacate your rental housing unit at _____(insert address)_____ due to a displacement event as defined by the City, and are eligible for relocation assistance payments.
Notice of Displacement
This notice is to inform you that a displacement event affecting the tenant rental unit described below occurred (or will occur) beginning on: _____(insert date)_____ Description/ reason(s) for displacement (if repairs are necessary please describe the scope of work):
Estimated Displacement Duration
The City has determined that the anticipated displacement is as follows:
ESTIMATED RELOCATION PERIOD
Estimated Start Date:
Estimated Return Date:
RELOCATION TYPE (select one)
Temporary (29 days or less): ☐
Permanent (30 days or more): ☐
DRAFT
If there are any changes to the estimated relocation period, an additional notice will be provided by the landlord.
Tenant Information
Please provide information regarding your rental unit and current contact information to ensure timely communication during your displacement.
Displaced Tenant’s Rights
Relocation Assistance Payments
You are eligible for relocation assistance as described in SSFMC 8.70 of the Municipal Code in one of the following options (select one):
☐ Temporary relocation per diem payments set by City Council. Payments shall be paid within 24 hours to the tenants (or 20 days prior to the vacation date set); or ☐ Permanent relocation assistance set by City Council. Payments shall be paid within 24 hours after notice to vacate is posted and mailed (or 10 days prior to the vacation date set); or
☐ Comparable housing in lieu of monetary assistance, you may elect to accept comparable replacement housing provided in accordance with Chapter 8.70.
Form of Payment
Tenant has the decision in selecting form of payment (i.e. check, cash, Zelle, etc.).
Immediate Vacation Fee
If you were notified less than 30 days to vacate your unit as a result of a displacement event, you are eligible for an additional Immediate Vacation fee of $1,000.
Right to Reoccupy
In addition to your right of relocation assistance, you have the right to reoccupy your rental unit once the unit is rendered habitable under the same terms and conditions that applied to the tenancy prior to the displacement.
RENTAL UNIT INFORMATION (Please complete)
Rental Unit Address:
Number of Bedrooms: Date of Lease:
Monthly Rent: Household Size:
TENANT CONTACT INFORMATION
Name:
Email:
Phone Number:
DRAFT
You will be notified in writing when the unit is ready for reoccupancy.
Copy of SSFMC Chapter 8.70
Along with this notice, you are being provided with a copy of the Residential Tenant Relocation Ordinance (SSFMC Chapter 8.70).
City Contact Information
A copy of this notice has been provided to the City as required by SSFMC Chapter 8.70.
If you have any questions, please contact the Housing Division:
Phone: (650) 829-6620
Email: [email protected]
Address: City Hall, 400 Grand Avenue, South San Francisco Landlord Signature: ___________________ Date: ________________ Acknowledgement of Receipt by Tenant:
Tenant Signature: ___________________ Date: ________________ Additional Tenant Contact Information you wish to provide (if needed):
ADDITIONAL TENANT CONTACT INFORMATION
Name:
Email:
Phone Number:
ADDITIONAL TENANT CONTACT INFORMATION
Name:
Email:
Phone Number:
DRAFT