Eviction Intake Form

Eviction Intake

Eviction Force
Your Info
Please indicate your interest in the premises to evict:*

As a Landlord/OwnerAs a RoommateAs an AgentOther
Your Name*

First NameLast Name
Your Phone Number*
Please enter a valid phone number.
Your Email
example@example.com
Name of Plaintiff (AKA Landlord/Owner/Roommate)*

First NameLast Name
Plaintiff Address*

Street Address

Street Address Line 2

CityState

Zip Code
Plaintiff Phone Number (We'll never share your info with anyone.)*
Please enter a valid phone number.
Plaintiff Email
example@example.com
Would you like to opt-in for text communications? (By checking this box, you agree to send and receive SMS from Eviction Force.)

YesNo
How is the Landlord Vesting Title?

IndividualTrustLLCCorporationOther
What is the name of your Trust, LLC, or Corp?
Attorney Name

First NameLast Name
State Bar Number
Attorney Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Attorney Phone
Please enter a valid phone number.
Attorney Email
example@example.com
Do you receive any of the following welfare benefits?

Medi-CalFood StampsSupp. Sec. IncSSPCountry Relief/General AssistanceIHSSCalWORKS or Tribal TANFCAPIWICUnemploymentNoneOther
Premises Info
Property Address to EVICT:*

Street Address

Street Address Line 2

CityState

Zip Code
County*
If your tenant is only occupying a room or an addition to your property, please specify it here:
Property Type*

Studio RoomsSingle HouseCondoTownhouseMulti-HomesVacation HomesCabinOther
Does the property contain multiple occupied dwellings (i.e., mobile homes, trailers)? If so, explain and indicate how many:
Number of Bedrooms*
The premises were constructed in (approximate year):
Which property type is this eviction for?

ResidentialCommercial
If your tenant is occupying your premises as a business or LLC please name their business here:
Are you, or have you been, in a rental agreement with the occupant(s) you need to evict for the premises in question?*

YesNo
Please select the Reason(s) for the Eviction of your Non-Tenant(s):*

SquattingForeclosure Hold OverTenants Were Living on the Property Before You Purchased the UnitUnsureOther
Please Select the Reason(s) for the Eviction:*

Nonpayment of RentUnauthorized SublettingTermination of TenancyDamage to PropertyDisturbing the PeaceUnauthorized Additions Made to the UnitSmokingKeeping Unauthorized Animals on the PropertyHoardingTenant(s) Committing FelonyUnsureIllegal ActivityOther
Tenancy is Terminating Because:*

The fixed-term lease has expiredThe owner or certain family members of the owner are intending to occupy the premises.The owner intends to withdraw the Premises from the rental market.The owner intends to demolish or substantially remodel the Premises.The unit must be vacated in order to comply with a law, or a court or government order.Reason(s) already selected in previous field.Other
Which Notice Type Should be Served?

3 Day to Pay or Quit3 Day to Perform or Quit3 Day to Quit5 Day to Quit30 Day to Quit60 Day to Quit3/90 Day to QuitOther
How Many Tenants to Evict Are on the Property? (18 or Older)
Name of Tenant to Evict

First NameLast Name
Approximate Age
Name of Tenant #2 to Evict

First NameLast Name
Approximate Age of #2
Name of Tenant #3 to Evict

First NameLast Name
Approximate Age of #3
Name of Tenant #4 to Evict

First NameLast Name
Approximate Age of #4
Name of Tenant #5 to Evict

First NameLast Name
Approximate Age of #5
Name of Tenant #6 to Evict

First NameLast Name
Approximate Age of #6
Name of Tenant #7 to Evict

First NameLast Name
Approximate Age of #7
Name of Tenant #8 to Evict

First NameLast Name
Approximate Age of #8
Name of Tenant #9 to Evict

First NameLast Name
Approximate Age of #9
Name of Tenant #10 to Evict

First NameLast Name
Approximate Age of #10
Do you wish to include any and all Unknown Occupants? (Recommended)

YesNo
Date Tenant(s) Moved In

MonthDayYear
Date
Are the tenants/occupants/visitors involved with drugs, gangs, weapons or violence? (Explain):
Have Threats Been Made Regarding the Eviction? (Explain):
Are there any dogs or other animals on the property? (Explain):
Are there elderly or bedridden tenants on the property?

YesNo
Are there children on the property?

YesNo
Are you aware of any dangerous conditions on or near the property? (Explain):
If you have served your tenant(s) with an eviction notice, please upload the notice(s) here:

Cancelof
Rent Info
Monthly Rent*
Daily Rental Value
Past Due Rent (Please do not include late fees):
How Many Months Past Due?
(Limit of 12 months - Eviction cases can only go back a year)
* , Year* , Rent Delinquent (No Late Fees, Please)*
* , Year* , Rent Delinquent (No Late Fees, Please)*
* , Year* , Rent Delinquent (No Late Fees, Please)*
* , Year* , Rent Delinquent (No Late Fees, Please)*
* , Year* , Rent Delinquent (No Late Fees, Please)*
* , Year* , Rent Delinquent (No Late Fees, Please)*
* , Year* , Rent Delinquent (No Late Fees, Please)*
* , Year* , Rent Delinquent (No Late Fees, Please)*
* , Year* , Rent Delinquent (No Late Fees, Please)*
* , Year* , Rent Delinquent (No Late Fees, Please)*
* , Year* , Rent Delinquent (No Late Fees, Please)*
* , Year* , Rent Delinquent (No Late Fees, Please)*
Agreed to rent the premises as a...

Month-to-monthOther
Rent Payable...

MonthlyOther
Agreed to Pay Rent on the...

First of the MonthOther
Type of Rental Agreement

WrittenOralNo Agreement - SquattersTenancy at WillOther
The Agreement was Later Changed as Follows (If applicable):
Length of Rental Agreement (1 Year, 6 Months, etc.)
Upload Rental Agreement

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Any additional information?
Admin Section

Remember to Mark 'Hidden' From Clients When Building Form Elements Below Here
Has the client paid?

YesNo
Payment Amount:
Request for Dismissal:

Complaint (Entire case)Dismiss Does 1-10Other
Notice Info
Notice Service Type

Personal ServiceSubstitute ServicePostingOther
Name of Person Sub-Served:

First NameLast Name
Notice Type Served:

3-day notice to pay rent or quit30-day notice to quit60-day notice to quit3-day notice to quit3-day notice to perform covenant or quit3-day notice to quit (Enter prior required notice to perform covenants date)Other
Tenancy Protection Act of 2019

Plaintiff waived the payment of the final month's rentPlaintiff provided a direct payment of one month's rent to...N/A
Number of Defendants Paid:
#1 TPA Defendant

First NameLast Name
#1 Amount Paid
#2 TPA Defendant

First NameLast Name
#2 Amount Paid
#3 TPA Defendant

First NameLast Name
#3 Amount Paid
#4 TPA Defendant

First NameLast Name
#4 Amount Paid
#5 TPA Defendant

First NameLast Name
#5 Amount Paid
#6 TPA Defendant

First NameLast Name
#6 Amount Paid
#7 TPA Defendant

First NameLast Name
#7 Amount Paid
#8 TPA Defendant

First NameLast Name
#8 Amount Paid
#9 TPA Defendant

First NameLast Name
#9 Amount Paid
#10 TPA Defendant

First NameLast Name
#10 Amount Paid
Prior required notice to perform covenants served (If applicable):

MonthDayYear
Date
Date Notice Posted/Served:

MonthDayYear
Date
Date Notice Mailed:

MonthDayYear
Date
UD and Service Stage
UD Conformed On:

MonthDayYear
Date
Case Number
Amended Complaint Number:
Amended Civil Case Cover Sheet Number:
Court fees waived (fee order granted)?

YesNo
Was the Prejudgment Claim of Right to Possession served in compliance with Code of Civil Procedure section 415.46?

YesNo
Date Defendants Served:

MonthDayYear
Date
Time Defendants Were Served:

Hour Minutes

AM/PM Option
Request to Serve by Posting & Mailing?

YesNo
Date of Service Attempt #1*

MonthDayYear
Date
Time of Service Attempt #1*

Hour Minutes

AM/PM Option
Reason Service Could Not be Made #1*
Date of Service Attempt #2*

MonthDayYear
Date
Time of Service Attempt #2*

Hour Minutes

AM/PM Option
Reason Service Could Not be Made #2*
Date of Service Attempt #3*

MonthDayYear
Date
Time of Service Attempt #3*

Hour Minutes

AM/PM Option
Reason Service Could Not be Made #3*
Trial Fields
Has the Client Paid for Trial?

YesNo
Trial Payment Amount:
How Many Tenants Filed an Answer?
Tenant 1
Tenant 2
Tenant 3
Tenant 4
Tenant 5
Tenant 6
Tenant 7
Tenant 8
Tenant 9
Tenant 10
Address From Tenant's Answer

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Defendant's Attorney:

First NameLast Name
Defendant Attorney's Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Trial Date:

MonthDayYear
Date
Hearing Date:

MonthDayYear
Date
Notice of Limited Scope Attorney:

Ratha KeaWilliam WindhamShirley KenningerJohn SchlangerJeffrey Katz
Amended Notice of Limited Scope of Representation (CIV-150)?

YesNo
Judgment (Default),Writ, and Sheriff
Judgment by:

ClerkCourt
Enter Default For:

All TenantsUnanswered Tenants
How Many Unanswered Tenants?
Unanswered tenant #1

First NameLast Name
Unanswered tenant #2

First NameLast Name
Unanswered tenant #3

First NameLast Name
Unanswered tenant #4

First NameLast Name
Unanswered tenant #5

First NameLast Name
Unanswered tenant #6

First NameLast Name
Unanswered tenant #7

First NameLast Name
Unanswered tenant #8

First NameLast Name
Unanswered tenant #9

First NameLast Name
Unanswered tenant #10

First NameLast Name
Judgment Conformed on:

MonthDayYear
Date
Writ Conformed on:

MonthDayYear
Date
No Lockout Prior to:

MonthDayYear
Date
Has the Client Paid for the Sheriff Lockout?

YesNo
Sheriff Lockout Payment Amount:
Admin File Uploads
Admin Notice(s):

Cancelof
Admin Proof of Notice Posting:

Cancelof
LAHD Notice:

Cancelof
LAHD Email Confirmation:

Cancelof
Client Signed UD Packet

Cancelof
Declaration of Non Service

Cancelof
Admin Notes:
Should be Empty:

Eviction Intake

Your Info

Premises Info

Rent Info

Admin Section

Notice Info

UD and Service Stage

Trial Fields

Judgment (Default),Writ, and Sheriff

Admin File Uploads