Partner Referral Agreement
Memorandum of Understanding between a Housing Provider and a Referring Organization to provide safe, affordable housing.
Basic Information
Housing Provider Business Name
*
Referring Organization Name
*
Housing Provider Contact Details
Housing Provider Contact Name
*
Housing Provider Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Housing Provider Email
*
example@example.com
Referring Organization Contact Details
Referring Organization Contact Name
*
Referring Organization Email
*
example@example.com
Housing Details
Property Locations / Areas Served
Number of Beds per Home
Monthly Rent Amount ($)
Housing Provider Responsibilities
Housing Provider agrees to the following responsibilities
Maintain safe and habitable conditions
Provide working utilities
Respond to maintenance requests promptly
Follow fair housing laws
Provide 30-day written notice before termination
Keep resident information confidential
Allow provider access for welfare checks
Referring Organization Responsibilities
Confirm the responsibilities the Referring Organization agrees to uphold.
Referring Organization agrees to the following responsibilities
Screen and refer appropriate clients
Provide accurate client information
Maintain ongoing case management
Respond to housing provider concerns promptly
Assist with lease violations or disputes
Notify housing provider of significant changes in client status
Notice period if ending partnership
Please Select
7 days
14 days
30 days
60 days
90 days
Resident Criteria
Age range accepted
Gender accepted
Please Select
All genders
Male only
Female only
Non-binary/Other
No preference
Disqualifying behaviors
Referral Process
Communication Protocol
Agreement Terms
MOU Start Date
-
Month
-
Day
Year
Date
Notice Period Required to Terminate This MOU
Please Select
7 days
14 days
30 days
60 days
90 days
Acknowledgment
This MOU represents the intentions and cooperative spirit of both parties but is not a legally binding contract. It may be terminated by either party with appropriate notice.
Housing Provider - Printed Name
*
Housing Provider - Date Signed
*
-
Month
-
Day
Year
Date
Referring Organization - Printed Name
*
Referring Organization - Date Signed
*
-
Month
-
Day
Year
Date
Signature
*
Submit
Should be Empty: