Irvine Tenant Mold Form

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NAMEKnow Your Rights as a Tenant California law requires landlords to provide a habitable living environment — this includes being free from toxic mold and water damage.
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Date of Birth:$857,000 Settlement in Newport Beach Case:A homeowner in Newport Beach, California, settled for $857,000 after experiencing chronic water damage and mold exposure in her condominium.
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What is your current residential address
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Email Address$774,000 Recovery for Riverside Couple:A couple secured a $774,000 recovery for personal injuries sustained in their single-family home contaminated with mold in Riverside, California.
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Phone NumberCan I Sue My Landlord? Yes. If your landlord ignored known mold issues or failed to act, you may be entitled to monetary damages and future medical support.
Please enter a valid phone number.
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What is your occupation: job title, duties, and annual income prior to mold exposure?
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What is your highest level of education?
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What is your marital status?
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How many children do you have and what are their ages?
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Have you ever filed a lawsuit in your life? When? What were your claims and injuries?What Is Mold and Why Is It Dangerous? Toxic mold (like black mold) releases spores that can cause serious health problems, especially with long-term exposure.
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Have you ever been disabled in your life prior to this mold exposure? When? Please describe the circumstances? $6.6 Million Verdict in Toxic Mold Case (2025):A jury awarded the Andrews family $6.6 million in a toxic mold poisoning case.
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What is the address of the residence where the exposure happened?
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Please list the email(s) to the property management company.Your Landlord's Legal Responsibility: Landlords must repair and remediate mold once notified. Delays, cover-ups, or forcing you back into an unsafe unit may violate the law.
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What is the name of the property management company that manages the building?$500,000 Settlement for San Diego Family:A San Diego County family received a $500,000 settlement after being exposed to toxic mold in their apartment over several years, leading to asthma and allergies.
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When did you move in?
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Do you still have access to the residence?$300,000 Recovery for Glendora Family: A family of five was awarded $300,000 for injuries resulting from toxic mold in their rental home in Glendora, California.
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Attach the lease and any addendums. $335,000 Recovery for Temecula Family:A single mother and her three children received a $335,000 recovery after living in an apartment complex contaminated with toxic mold in Temecula, California.
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When did you move out?
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Who lived in the residence with you? (relationship, name and age)Legal Grounds for a Mold Lawsuit: Negligence, breach of warranty of habitability, and personal injury are common legal claims in mold cases.
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Did you have any pre-existing medical condition prior to mold exposure?$950,000 Settlement for Elderly Woman: An elderly woman with pre-existing COPD received a $950,000 settlement after mold exposure in her San Diego apartment exacerbated her condition, leading to repeated hospitalizations.
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When did you and others first develop symptoms?
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Describe your symptoms and how they impair your life?Common Symptoms of Mold Exposure: Fatigue, asthma, difficulty breathing, headaches, cognitive issues, depression, and even lung lesions can result from mold exposure.
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When did you first discover mold in the residence?
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Did anyone else in the residence become ill? Who?
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How and when did you first realize the mold was causing your health problems? Document Everything: Take photos, save emails, and request inspection reports. Documentation is crucial in legal cases.
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Has the source been determined?
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Has the mold in the residence been tested? If so, by whom and when?Mold Testing & Inspection: Certified environmental testing can prove presence and toxicity levels. Attach your reports — this strengthens your legal claim.
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Attach reports.
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If we determine you need another mold test inspection and air quality microbial testing, assuming you still have access to the residence, do you have the money to pay approx. $800 for another test?
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Did the residence actually smell like mold?What Compensation Can I Get? Past and future medical bills, lost wages, pain and suffering, relocation costs, and even punitive damages in severe cases.
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Was the mold remediated? If so, when? And performed by who?
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Attach the remediation report
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Provide any written, email, text correspondence between you and the landlord regarding the mold.
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Does the new tenant after you moved out, have symptoms? Will they cooperate with you?You're Not Alone: Many tenants suffer silently. If neighbors have also had symptoms, joint cases can be even stronger.
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Who is the landlord or property manager?
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When did you connect your symptoms to mold exposure?
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Do you have access to your medical records since living in this apartment?Proving Health Impact: Medical records linking symptoms to mold are powerful. Keep track of your diagnoses, prescriptions, and doctor statements.
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Has any doctor or provider linked your illness to mold exposure?If you need a provider to give you a mold symptom exam and findings we can refer you to many providers in your area.
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What have you been diagnosed with, when, and by who?Don't Rush Back In: You have the right to demand post-remediation testing before returning. Moving back into a toxic environment may worsen your health.
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List names of all the doctors you saw for your illness who recognized mold as the cause. If so, describe. what will they say?If you have not seen a provider we will refer you immediately.
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Attach reports.$2.7 Million Award for Mazza Family (2001):The Mazza family in California received $2.7 million after suing their apartment management for failing to address water intrusion that led to toxic mold growth
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What diagnostic tests were taken to support the diagnosis? Blood, urine, neuroquant, etc.
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Attach reports.$4 Million Award for Ballard Family (2001):The Ballard family in Texas was awarded $4 million (reduced from $32 million on appeal) after their insurer failed to address water damage, resulting in toxic mold contamination.
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Attach PDF blood and urine test results, and doctors reports for mold illness diagnosis.
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What health insurance do you have to pay for future medical bills? Do you have the financial resources to pay for the future medical bills your insurance does not cover?$7.2 Million Award for Ed McMahon (2003):Television personality Ed McMahon received a $7.2 million settlement after mold from a water leak in his Beverly Hills home caused health issues and the death of his dog.
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What are your symptoms today, your lifestyle and how it is different than before the mold exposure?When to Take Legal Action: If symptoms persist, remediation fails, or the landlord is dismissive — it’s time to consult legal counsel.
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Have you ever been ill from mold in any other building, before or after living in this building? If so, explain?$430,000 Settlement for Erin Brockovich (2003):Environmental activist Erin Brockovich received settlements totaling $430,000 after experiencing mold contamination in her California home.
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How often do you consume alcohol? Do you drink more or less then in the past? Please explain?
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Do you or have you ever smoked tobacco, vaped or lived with anyone who has? Please explain.$32 Million Verdict for Melinda Ballard (2001):Melinda Ballard sued her insurer over mold damage in her Texas home and was awarded $32 million, later reduced to $4 million on appeal
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Do you or have you ever used narcotics? Please explain.
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Have you ever been arrested or convicted of a crime? Please explain.
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Breakdown the amounts of all your lost income regarding your mold exposure. What was your annual income prior to the mold exposure, compared to your annual income since the mold exposure?How a Lawyer Helps: An experienced mold lawyer will guide you through evidence gathering, negotiation, and litigation — often at no upfront cost.
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List all your medical expenses, and what portion was out of pocket.
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Do you have any photos of the mold or the residence?
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Please attach PDF photos.
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If applicable, has a lawsuit been filed, and if so, what discovery has been done? Are you still represented by counsel? Please attached your lawsuit documents.You Deserve a Healthy Home Your health and rights matter. This form is the first step toward justice and recovery.
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If applicable, when is the trial date?
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What are the names of other mold lawyers you approached to take your case?
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Do you know of any neighbors who were also poisoned by mold who MAY want to join?
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Do you know if the previous tenant was poisoned by mold before you?$857,000 Settlement in Newport Beach Case: A homeowner in Newport Beach, California, settled for $857,000 after experiencing chronic water damage and mold exposure in her condominium.
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