OCCUPANCY SUMMARY

CONTRACT SUMMARY

FOR JUNIOR VACATION RENTAL CERTIFICATE PROPERTIES
A Contract Summary is required each time a Vacation Rental property is booked by guests. A Contract Summary is to be submitted no later than the start time of the occupancy. If an error was made on a submitted contract summary, the contract with the error must be voided by canceling the contract, and a new contract with the correct information will need to be submitted. If you have questions about this form please email us at vacation.rentals@palmspringsca.gov.
This Contract Summary is for:*

New Contract SummaryContract Cancellation
Is this property registered under an Agency:*

YesNo
Please select the Agency the property is registered under
Contract cancellation may only occur prior to the occupancy of the vacation rental property by a guest. Should your guests cancel their booking, and should you not submit a contract cancellation in a timely manner, the submission of the contract summary will count as one contract.
Enter the City ID Number: *
City ID #:*
Please enter the City ID number
VR Property Address:*
VR Property Street Name:*
Unit #:
TOT #:
Palm Springs Neighborhood:
Bedroom
Name of the Vacation Rental Property Owner:*

First NameLast Name
Brief reason for Cancellation:*
Please attach any documents that you wish to add for Contract Cancellation to support the change. (PDF files are preferred).

Upload a File

Cancelof
Arrival Date:*

MonthDayYear
Date
Departure Date:*

MonthDayYear
Date
Contract Number for the Calendar Year:*
Contract Year:*
Please select the number of registered guest occupying the property
Primary Guest:*

First NameLast Initial
If applicable, name of Owner's Representative completing this form:

First NameLast Name
I declare under penalty of perjury that the information I have provided is true, accurate, and complete; and I am the owner of the above listed property, or an authorized representative. I have read and understand the contract limits on guest stays as required by PSMC 5.25.070(b). I further understand that a Vacation Rental Compliance Department Official may audit records per PSMC, Sections 5.25.080 & 5.25.070(h). *

I agree to the above statement
By providing your email below, you will receive an auto confirmation of this Contract Summary:*
Transient Occupancy #: (The Submit Button will appear once the correct TOT # is entered)*
Please enter only the first 4 digits of your TOT Number
Should be Empty:

CONTRACT SUMMARY