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Bed bug disclosure form California

Bed bug disclosure form California

Document the presence or absence of bed bugs in rental units to fulfill California disclosure requirements and establish clear communication between landlords and tenants.

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Bed bug disclosure form California

Document the presence or absence of bed bugs in rental units to fulfill California disclosure requirements and establish clear communication between landlords and tenants.

Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF

Our Bed Bug Disclosure Form helps California landlords fulfill their legal obligation under Civil Code Section 1954.603. This template is your starting point for documenting visible signs of bed bugs or tenants’ experiences in their dwelling.

Under California law, landlords must give prospective tenants information about bed bugs and set up a process for reporting them. It is also illegal to show or lease units that have an active infestation. The template aids you with legal compliance while promoting transparent communication. When a suspected infestation is reported early, treatment can begin promptly, potentially saving thousands in remediation costs.

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Preview of the template
Page 1
Bed Bug Disclosure
Have you seen any bed bugs or signs of bed bugs in the dwelling?
Have you been been bitten by bed bugs while residing in the dwelling?

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Frequently asked questions

When am I legally required to provide this bed bug disclosure form to tenants?

California Civil Code 1954.603 requires landlords to provide this disclosure to all prospective tenants before they sign a lease agreement. Present the form alongside other rental documents during the application process.

What happens if I discover bed bugs after completing this disclosure form?

If bed bugs are discovered after completing the form, you must notify affected tenants in writing within two business days of receiving confirmation from a pest control operator. You’re also required to take reasonable steps to treat the infestation and cannot retaliate against tenants who report bed bugs.

Can I be held liable if I don’t use a bed bug disclosure form for my rental property?

Yes, failing to provide the required bed bug disclosure could result in legal liability. Tenants might claim breach of the warranty of habitability, potentially leading to rent withholding, lease termination, or lawsuits for damages related to bed bug infestations and treatment costs.

How does this bed bug disclosure form help protect me as a landlord?

The form creates a documented record that you’ve fulfilled your legal disclosure obligations and establishes the condition of the unit at move-in. This documentation can help defend against false claims about pre-existing infestations and demonstrates your commitment to maintaining habitable premises.


This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.
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