Intake Questions for Short Term Rentals

Intake Questions for a Midterm Rental Guest (30+ days)
What property are you interested in?
Please select:

60XX S. Wabash St.73XX S. South Shore Dr.72XX S. Cornell88XX S. Emerald60XX S. Rhodes16XXX Wood St.
What is your desired move-in date (and how flexible are you)?

MonthDayYear
Date
What is your desired move-out date?

MonthDayYear
Date
Tenant Information
Name of Applicant

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Number of other Occupants
Occupant Details*
Why are you needing housing?

Traveling NurseCorporate AssignmentRelocationInsurance Displacement
If insurance displacement, have you been assigned a housing adjuster?

YesNo
What’s your monthly budget range (including utilities, parking, pet fees, and any required deposits)?

$1,000-$2,000$2,000-$4,000$4,000-$6,000$6,000-$8,000$8,000-more
Do you have any pets?

YesNo
If yes, please specify the pet/s type and breed | House trained or crated
Do you smoke or vape (including cannabis)?

YesNo
Do you have any special odor sensitivities or restrictions?

YesNo
Do you need parking?
How many vehicles? Size - (Compact/SUV/Truck)
Do you have any storage needs?
What are your must-haves for the space (furnished level, workspace/desk, in-unit laundry, AC, fast Wi-Fi, quiet hours, elevator, accessibility needs)?
Are you willing to complete the screening process? (ID verification, credit/background check if applicable)

YesNo
Insurance Information
Insurance Company
Policy Number
Insurance Agent

First NameLast Name
Insurance Agent Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Insurance Agent Email
Housing Representative

First NameLast Name
Housing Representative Email
Housing Representative Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Claim Number
Please list 2-3 References with a phone number.
Should be Empty:

Intake Questions for a Midterm Rental Guest (30+ days)

What property are you interested in?

Tenant Information

Insurance Information