CITY OF SACRAMENTO
RENTAL HOUSING INSPECTION PROGRAM
TENANT CONSENT TO INSPECT RENTAL HOUSING UNITS
PROPERTY ADDRESS: _______________________________________________
The property above will be inspected by the City of Sacramento’s Rental Housing
Inspection Program to determine whether it complies with local and state regulations. The
inspection is scheduled for the following date and time:
DATE: _______________
TIME: _______________
As a tenant, you have a basic right to privacy and may deny the City permission to enter.
You may be present during the inspection. If you will not be present at the time of the
inspection, the City requests that you consent to the inspection in your absence. To give
your consent, please complete the form below.
CONSENTING TENANT(S)
I, the undersigned am a legal tenant of and have lawful access or control of the rental
housing unit described below. I the tenant, freely and voluntarily give my consent to have
the inspectors of the City of Sacramento’s Rental Housing Inspection Program enter and
inspect the unit in my absence.
Unit #:__________
Tenant Name:_________________________ Telephone: _____________________
Tenant Signature: _____________________ Date: __________________________
Unit #:__________
Name:___________________________
Telephone: _____________________
Signature: _______________________
Date: __________________________
Unit #:__________
Name:___________________________
Telephone: _____________________
Signature: _______________________
Date: __________________________
Unit #:__________
Name:___________________________
Telephone: _____________________
Signature: _______________________
Date: __________________________
Rev. 2/07/2012