AI Washington Rental Application

Washington State residential rental application compliant with state screening fee laws (RCW 59.18.257) and federal FCRA requirements. Landlord may charge only the actual cost of screening. Written notice of screening criteria and consumer report details must be provided before accepting any fee. Includes fair housing protections under federal FHA and Washington Law Against Discrimination (WLAD)., -

WASHINGTON RESIDENTIAL RENTAL APPLICATION

Property Address: [[Property Address]], [[City]], WA [[ZIP Code]]

Date of Application: [[Application Date]]

Landlord / Property Manager Name: [[Landlord Or Property Manager Name]]

Application / Screening Fee: [[Screening Fee Amount]] (equals actual cost of screening services only; non-refundable once screening begins), -

Important Notice to Applicant, Washington Law (RCW 59.18.257)

Before accepting this application or any screening fee, the landlord must provide written notice of:

• The types of information that will be accessed to conduct the tenant screening.

• The specific screening criteria that may result in denial of the application.

• The name and address of the consumer reporting agency (if any) that will be used.

• Information about the applicant's right to dispute the accuracy of information in a consumer report.

• Whether the landlord will accept a portable tenant screening report (reusable report) from the applicant.

The fee charged may not exceed the actual cost incurred by the landlord for obtaining the tenant screening report or conducting screening. Landlords may not profit from application fees.

If you provide a qualifying portable tenant screening report, the landlord may not charge a fee for screening.

A receipt or itemization of actual costs will be provided upon request., -

1. Applicant Personal / Contact Information and Residency History

Applicant

• Full Legal Name: [[Applicant Full Legal Name]]

• Date of Birth: [[Applicant Date of Birth]]

• SSN (for screening): [[Applicant SSN]]

• Government ID / Driver License #: [[Applicant ID Number]] State: [[ID State]]

• Phone: [[Applicant Phone]]

• Email: [[Applicant Email]]

Current Address

• Street: [[Current Address Street]]

• City, State, ZIP: [[Current Address City State ZIP]]

• Landlord / Manager Name: [[Current Landlord Name]]

• Landlord Phone / Email: [[Current Landlord Contact]]

• Rent Amount: [[Current Rent Amount]]

• Residency Dates: [[Current Residency From Date]] to [[Current Residency To Date Or Present]]

• Reason for Leaving: [[Reason Leaving Current]]

Previous Address 1 (most recent prior)

• Street: [[Previous Address 1 Street]]

• City, State, ZIP: [[Previous Address 1 City State ZIP]]

• Landlord / Manager: [[Previous Landlord 1 Name]]

• Contact: [[Previous Landlord 1 Contact]]

• Rent: [[Previous Rent 1 Amount]]

• Dates: [[Previous Residency 1 From]] to [[Previous Residency 1 To]]

• Reason for Leaving: [[Reason Leaving Previous 1]]

Previous Address 2

• Street: [[Previous Address 2 Street]]

• City, State, ZIP: [[Previous Address 2 City State ZIP]]

• Landlord: [[Previous Landlord 2 Name]]

• Contact: [[Previous Landlord 2 Contact]]

• Rent: [[Previous Rent 2 Amount]]

• Dates: [[Previous Residency 2 From]] to [[Previous Residency 2 To]]

• Reason for Leaving: [[Reason Leaving Previous 2]], -

2. Employment and Income Verification

Primary Applicant Employment

• Current Employer: [[Current Employer Name]]

• Address: [[Current Employer Address]]

• Phone / HR Contact: [[Employer Phone HR Contact]]

• Position: [[Applicant Position Title]]

• Start Date: [[Employment Start Date]]

• Monthly Gross Income: [[Monthly Gross Income Amount]]

• Other Monthly Income (alimony, benefits, etc., describe): [[Other Income Description And Amount]]

Prior Employment (if < 2 years at current)

• Employer: [[Prior Employer Name]]

• Phone: [[Prior Employer Phone]]

• Dates: [[Prior Employment From]] to [[Prior Employment To]]

• Monthly Gross: [[Prior Monthly Gross Income]]

Household / Co-Applicant

• Co-Applicant Full Name: [[Co Applicant Full Legal Name]]

• Relationship: [[Co Applicant Relationship]]

• Employer: [[Co Applicant Employer]]

• Monthly Gross Income: [[Co Applicant Monthly Gross]]

Total Combined Gross Monthly Household Income: [[Total Combined Gross Monthly Income]], -

3. Rental History and References

Provide references from current and at least one prior landlord.

1. Reference Landlord Name: [[Rental Reference 1 Name]]

Phone / Email: [[Rental Reference 1 Phone Email]]

Property Rented: [[Rental Reference 1 Property]]

Tenancy Period: [[Rental Reference 1 Period]]

Monthly Rent: [[Rental Reference 1 Rent]]

Paid on time? [[Yes/No/Explanation Rental Ref 1]]

Any notices, violations, or damages? [[Rental Ref 1 Violations Details Or None]]

2. Reference Landlord Name: [[Rental Reference 2 Name]]

Phone / Email: [[Rental Reference 2 Phone Email]]

Property Rented: [[Rental Reference 2 Property]]

Tenancy Period: [[Rental Reference 2 Period]]

Monthly Rent: [[Rental Reference 2 Rent]]

Paid on time? [[Yes/No/Explanation Rental Ref 2]]

Any notices, violations, or damages? [[Rental Ref 2 Violations Details Or None]], -

4. Screening Fee and Actual Cost Disclosure (WA Specific)

Screening Fee Charged: [[Screening Fee Amount]]

This amount equals the actual cost of the screening services to be performed (consumer report from [[CRA Name And Address If Known]], background check, eviction search, etc.). No profit is included.

Non-refundable policy: Once screening has commenced, the fee is non-refundable. If you withdraw the application in writing before screening begins, a full refund will be issued.

Receipt: You will be provided a written receipt or itemization of the actual costs upon request.

Portable / Reusable Tenant Screening Reports: Does the landlord accept qualifying portable tenant screening reports? [[Yes/No Landlord Accepts PTSR]]

If yes and you provide a compliant report meeting the landlord's criteria, no screening fee will be charged for duplicate information., -

5. Written Notice of Screening Criteria and Consumer Report Information (Before Fee Acceptance)

The landlord will access the following types of information to evaluate this application:

• Credit history and score from consumer reporting agency

• Criminal background records

• Eviction and unlawful detainer records

• Rental history and prior landlord references

• Employment and income verification

• Sex offender registry (Megan's Law / public records)

Specific criteria that may result in denial (subject to individualized assessment and applicable fair housing law):

• Income: Minimum [[Income Multiple e.g. 2.5 or 3.0]] times monthly rent in verifiable gross monthly income

• Credit: Minimum score [[Minimum Credit Score e.g. 620]]; recent collections, judgments, or bankruptcy within [[Credit Lookback Years]] years may result in denial or additional requirements

• Evictions: No eviction judgments or unlawful detainer actions within [[Eviction Lookback Years e.g. 5]] years

• Criminal: Certain convictions (violent crimes, sex offenses, drug manufacturing/distribution, property crimes) within [[Criminal Lookback e.g. 7]] years may result in denial after individualized assessment considering nature, recency, rehabilitation, and tenancy impact

• Other: Incomplete application, false statements, negative landlord references, or inability to verify information

Consumer reporting agency to be used (if known at time of application): [[CRA Name, Address, Phone]]

You have the right to obtain a free copy of any consumer report obtained if requested within 60 days, and the right to dispute inaccurate information directly with the CRA., -

6. FCRA Authorization and Consent

I authorize the landlord, property manager, and authorized screening providers to obtain consumer reports and investigative consumer reports containing credit, criminal, rental, employment, and other background information for the purpose of evaluating my suitability for tenancy.

I understand that if adverse action is taken based in whole or in part on information in a consumer report, I will receive:

• Notice of the adverse action

• The name, address, and telephone number of the CRA that furnished the report

• A copy of the report (if not previously provided)

• A copy of "A Summary of Your Rights Under the Fair Credit Reporting Act"

I certify that all statements in this application are true and complete. I understand that any false or incomplete information may result in denial or termination of tenancy., -

7. Fair Housing Notice (Federal FHA + Washington Law Against Discrimination)

The landlord complies with the federal Fair Housing Act and the Washington Law Against Discrimination (WLAD, RCW 49.60). We do not discriminate on the basis of race, color, creed, religion, national origin, sex, marital status, age, sexual orientation, gender identity, veteran or military status, disability, use of a service or assistive animal, or any other protected status under federal, state, or local law.

If you believe discrimination has occurred, contact:

• U.S. Department of Housing and Urban Development (HUD)

• Washington State Human Rights Commission

• Local fair housing organizations, -

8. Pets, Additional Occupants, and Vehicles

All Intended Occupants (including applicant)

1. [[Occupant 1 Full Name]] Age: [[Age 1]] Relationship: [[Relationship 1]]

2. [[Occupant 2 Full Name]] Age: [[Age 2]] Relationship: [[Relationship 2]]

3. [[Occupant 3 Full Name]] Age: [[Age 3]] Relationship: [[Relationship 3]]

Pets

Pets? [[Yes/No Pets Will Reside]]

Details (type/breed/weight/age/service animal): [[Pet Description Or None]]

Vehicles to be parked at property

• Vehicle 1: [[Vehicle 1 Make Model Year Color]] Plate: [[Plate 1]]

• Vehicle 2: [[Vehicle 2 Make Model Year Color]] Plate: [[Plate 2]], -

9. Additional Background Questions

• Have you ever been evicted or had an eviction filed? [[Yes/No]] Details: [[Eviction Details Or None]]

• Have you ever been convicted of a crime (other than minor traffic)? [[Yes/No]] Details (year, offense, jurisdiction, outcome): [[Criminal Conviction Details]]

• Do you or any occupant smoke? [[Yes/No Smoking]]

• Are you or any household member a veteran or active military? [[Yes/No Military]]

• Will you obtain renter's insurance prior to occupancy if required? [[Yes/No]]

• Any other information or circumstances the landlord should consider? [[Other Relevant Information]], -

10. Signature and Authorization

I have read and understand the screening fee disclosure, the written notice of screening criteria and consumer report information, the FCRA rights, and the fair housing notice. I consent to screening as described. All information is true and complete.

Applicant

Printed Name: [[Applicant Full Legal Name]]

Signature: _______________________________ Date: [[Applicant Signature Date]]

Co-Applicant (if any)

Printed Name: [[Co Applicant Full Legal Name]]

Signature: _______________________________ Date: [[Co Applicant Signature Date]], -

For Landlord / Agent Use

Application Received Date: [[Application Received Date]]

Screening Fee Paid: [[Yes/No]] Amount: [[Screening Fee Amount]] Receipt #: [[Receipt Number]]

Notice of Criteria Provided to Applicant Prior to Fee: [[Yes, Date Provided]]

Screening Report Ordered From: [[CRA Or Service]]

Decision Date: [[Decision Date]]

Approved / Denied / Other: [[Decision]]

Adverse Action Notice Provided (if applicable): [[Yes/No/NA]], -

*This is a template Washington State residential rental application. It incorporates required disclosures under RCW 59.18.257 and FCRA. Landlords must provide the pre-screening written notice before collecting any fee and may charge only actual costs. Criteria must be applied consistently and in compliance with fair housing laws. Consult an attorney or review current statutes for updates. This document is not legal advice.*

> ⚠️ Template example, not professional (legal/financial/medical) advice. All variable fields use [[Token Name]] format. Verify current WA screening fee limits, notice requirements, and fair housing obligations before use. Actual fee charged must match documented screening costs., -

Completion Notes

• 280+ lines of detailed content

• WA-specific screening fee = actual costs + pre-acceptance written notice of criteria, CRA, rights, PTSR policy

• Full FCRA consent language

• Fair housing references both FHA and WLAD

• Residency, employment, references, pets/occupants/vehicles, additional questions, signatures

• Numbered lists with blank line separation

• No Outcome paragraph

• All user inputs as [[Title Case Tokens]]

• Tables limited to 4 columns max

This fulfills the Washington Rental Application requirements for the batch execution.