Establishing secure connection…Loading editor…Preparing document…

Fair Housing Disclosure Form

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

FAIR HOUSING DISCLOSURE FORM

This Fair Housing Disclosure Form (the "Disclosure") is made and entered into on by and between Landlord/Owner: with mailing address and Resident/Applicant: with mailing address .

RECITALS

WHEREAS, Landlord owns or manages the real property and/or dwelling located at (the "Property"), and

WHEREAS, federal, state and local fair housing laws prohibit discrimination in the sale, rental, or financing of dwellings on the basis of certain protected characteristics (the "Protected Classes"); and

WHEREAS, the parties desire to set forth in writing the Landlord's representations and the Resident's acknowledgement regarding fair housing practices, reasonable accommodation procedures, and related disclosures for the Property.

NOW, THEREFORE

In consideration of the mutual promises contained herein and other good and valuable consideration, the receipt and sufficiency of which are acknowledged, the parties agree as follows:

1. DEFINITIONS

For purposes of this Disclosure, the following definitions apply:

"Dwelling" means the house, apartment, condominium unit, or other residential unit offered for sale or rent on the Property. "Protected Classes" include, but are not limited to, race, color, religion, sex, familial status, national origin, disability, and other characteristics protected by applicable law. "Reasonable Accommodation" means a change, exception, or adjustment to a rule, policy, practice, or service that may be necessary to afford a person with a disability an equal opportunity to use and enjoy a dwelling.

2. FAIR HOUSING REPRESENTATION

Landlord affirms that Landlord and Landlord's agents will not, on the basis of any Protected Class, refuse to rent or sell, refuse to negotiate for the rental or sale of, discriminate in the terms, conditions or privileges of rental or sale of, or make any statement or advertisement with respect to the rental or sale of a dwelling that indicates any preference, limitation or discrimination.

3. PROPERTY CHARACTERISTICS AND STATUS

Single-family dwelling    Multi-family building    Condominium    Other:

This Property claims an exemption as housing for older persons pursuant to applicable law.    This Property is not age-restricted.    If age-restricted, describe the basis for exemption or restriction:

4. REASONABLE ACCOMMODATIONS AND MODIFICATIONS

Residents with disabilities may request reasonable accommodations or reasonable modifications to rules, policies, or the dwelling itself. Requests must identify the accommodation or modification sought and the reason it is necessary to afford equal opportunity to use and enjoy the dwelling.

To request an accommodation or modification, submit a written request to the contact below. The request should include the requested accommodation, the nature of the disability if comfortable disclosing, and any supporting documentation the Resident elects to provide.

5. ACCESSIBILITY FEATURES AND MODIFICATIONS

6. POLICIES REGARDING HOUSING PROGRAMS AND PREFERENCES

Indicate whether the Property accepts or participates in housing assistance or preference programs:

Accepts housing choice vouchers or rental assistance    Has local preference or priority admissions    None of the above

7. PROHIBITED PRACTICES

Landlord certifies that Landlord will not engage in actions including, but not limited to: refusing to rent or sell a dwelling; imposing different terms or conditions; making, printing, or publishing any notice, statement or advertisement that indicates any preference or limitation; steering individuals to or away from particular neighborhoods; or retaliating against persons who assert fair housing rights.

8. NOTICE POSITIONS AND CONTACT INFORMATION

9. CERTIFICATIONS, ACKNOWLEDGMENTS AND CONSENTS

By signing below, Landlord certifies that the information contained in this Disclosure is true and accurate to the best of Landlord's knowledge, that Landlord will comply with applicable fair housing laws, and that Landlord will provide reasonable consideration to requests for accommodations or modifications from residents or applicants with disabilities. Resident acknowledges receipt of this Disclosure, has had an opportunity to review it, and understands Resident's rights and Landlord's obligations under applicable fair housing law.

10. NOTICES; AMENDMENTS; WAIVER; COUNTERPARTS

All notices or communications required or permitted under this Disclosure shall be in writing and delivered to the addresses set forth in this form or to any other address designated in writing by a party. Any amendment to this Disclosure must be in writing and executed by both parties. Failure by either party to enforce any provision shall not be deemed a waiver of future enforcement of that or any other provision. This Disclosure may be executed in counterparts, each of which shall be deemed an original, and all of which together shall constitute one instrument.

11. GOVERNING LAW; ENTIRE AGREEMENT; SEVERABILITY

This Disclosure shall be governed by and construed in accordance with the laws of the state in which the Property is located. This Disclosure constitutes the entire agreement between the parties with respect to the subject matter herein and supersedes all prior and contemporaneous agreements and understandings, whether written or oral. If any provision of this Disclosure is held invalid or unenforceable, the remaining provisions shall continue in full force and effect.

Landlord/Owner:

By:

Date:

Resident/Applicant:

By:

Date:

Enter text✕
Prepare your document for signing right on this page
  • 01 Edit the text and complete the fields
  • 02 Click Sign Now and on the next screen add recipients and signature fields in SignNow
  • 03 Start your free trial to sign and send your doc
Sign Now

What the Fair Housing Disclosure Form Is and when it applies

The Fair Housing Disclosure Form documents information landlords, sellers, or agents provide to prospective tenants or buyers about property conditions, accessibility features, funding sources, or known limitations that relate to fair housing compliance. It records facts relevant to nondiscrimination, reasonable accommodation, and statutory disclosures required by state or federal housing programs. The form is used alongside leases, purchase agreements, or rental applications to ensure transparency, preserve evidence of disclosure, and support compliance with HUD rules and state housing statutes.

Why a clear disclosure matters for housing transactions

Accurate fair housing disclosures reduce legal risk, help applicants make informed choices, and create a record showing compliance with nondiscrimination obligations under federal and state housing law.

Why a clear disclosure matters for housing transactions

Who typically completes or receives the Fair Housing Disclosure Form

Common users include the parties responsible for offering housing and those evaluating or approving occupancy.

  • Property owners and landlords who must disclose property features and relevant limitations to applicants.
  • Property managers and leasing agents who collect disclosures during applications or lease execution.
  • Housing counselors, HUD-assisted program administrators, or lenders reviewing compliance for funded projects.

Distribution and signature responsibilities vary by role; the form should be completed by the person with authoritative knowledge of the property.

Representative signer roles and responsibilities

Landlord / Owner

Typically signs to attest to property facts and disclosures, provides contact information for follow-up, and retains a copy for compliance records; responsible for updating disclosures when material facts change.

Leasing Agent / Broker

Often completes sections on behalf of an owner or manager, confirms delivery to applicants, and documents date and method of disclosure; must avoid statements that could imply discriminatory preferences.

Core elements to include in a professional disclosure form

A well-structured Fair Housing Disclosure Form is concise but comprehensive, balancing clear checkboxes with short narrative fields so recipients understand material facts without ambiguity.

Property Details

Street address, unit number, city, state, and ZIP together with unit type so the disclosure unambiguously identifies which dwelling the statements apply to.

Owner / Agent Contact

Full legal name, business name if applicable, phone and email for the person certifying the disclosure so recipients can request clarification or provide accommodation requests.

Accessibility Features

Clear yes/no checkboxes describing ramps, grab bars, doorway widths, and other accessible features plus a short field for describing modifications and limitations.

Known Hazards

Disclosure of lead-based paint risk (built before 1978), mold, or other known health hazards with dates of remediation when applicable.

Funding or Program Status

Indicate whether the unit is subject to HUD, state, or local affordable housing programs and whether program rules affect tenant selection or rent.

Certification and Signature

A dated signature block for signer name, title, and signature method with a statement affirming accuracy under penalty of law or contract.

Required fields and concise data checklist

Property Address: Full street address
Certifying Party: Owner or agent name
Contact Details: Phone and email
Accessibility Status: Yes / No checkboxes
Lead Paint Disclosure: Yes / No / Unknown
Signature Date: MM/DD/YYYY

Step-by-step: completing the Fair Housing Disclosure Form

Follow these sequential steps to ensure the disclosure is accurate, dated, and retained correctly.

  • 01
    Identify the property: Enter the full street address and unit identifier.
  • 02
    Complete factual sections: Answer checkboxes and brief narrative fields truthfully.
  • 03
    Sign and date: Have authorized party sign and include MM/DD/YYYY.
  • 04
    Provide to recipient: Give applicant a copy before lease or purchase execution.

Recommended e-submission settings for online completion

Configure the digital workflow to capture consent, authentication, and an audit trail for the disclosure.

Field Configuration
Authentication Email link or SMS code, optional KBA for high-assurance
Signature Type Typed name or drawn signature with timestamp
Notifications Automated emails to signer and retaining party
Retention Store signed PDF and audit trail for compliance

Where to send and how the signed form is routed

A clear routing plan ensures the signer, owner, and records custodian each receive the signed disclosure promptly.

  • To the Applicant: Deliver a signed copy at or before lease execution.
  • To Owner Records: Retain an executed copy in property files.
  • To Program Admin: Send to HUD or housing program contact if required.
  • To Legal Counsel: Provide copies when review or dispute arises.

Platform capabilities and file requirements for e-submission

Use a platform that supports PDF and DOCX upload, audit trails, secure storage, and common integrations used by housing teams.

  • File formats: PDF and DOCX supported
  • Integrations: CRM and cloud storage connections
  • Security standards: TLS and AES-256 encryption

Ensure the chosen provider supports ESIGN/UETA compliance, an auditable certificate of completion, and integrations with your document management system for retention and reporting.

Typical timing and when to issue disclosures

Timely delivery matters: provide disclosures early enough for recipients to evaluate information before agreeing to terms.

At application:

Provide the disclosure when an application is requested or received.

Before lease signing:

Deliver a final signed copy prior to execution of the lease or sale contract.

On material change:

Update and reissue disclosure promptly after material property changes.

Upon request:

Supply a copy when a tenant or buyer formally requests it.

For program compliance:

Follow specific HUD or funding program deadlines where applicable.

Key milestones in the disclosure lifecycle

Track milestones from creation to retention so each stage is auditable and timely.

01

Form Preparation

Draft and verify factual fields for the specific unit.

02

Pre-Sign Delivery

Provide the form to applicants before they commit to terms.

03

Execution

Authorized party signs and dates the disclosure document.

04

Retention

Store signed documents with audit trail for the required period.

Common preparation errors to avoid

  • Leaving address or unit fields incomplete, which makes the disclosure ambiguous and less useful in disputes.
  • Using vague language for accessibility items instead of specific measurements or descriptions.
  • Failing to reissue disclosures after remediation or material changes to the property.
  • Relying on unsigned or initialed forms when a full signature is required for evidentiary value.

Potential consequences of incorrect or missing disclosures

Civil Penalties: Administrative fines and enforcement actions
HUD Enforcement: Investigations and corrective orders
Contract Risks: Agreements may be rescinded or disputed
Discrimination Claims: Damages and legal exposure
Funding Impact: Loss of program eligibility
Reputational Harm: Public complaints and diminished trust

Real-world examples of how the form is used

Two practical examples show common workflows for property managers and healthcare-affiliated providers.

Martin Properties — Residential Leasing

Manager used an online disclosure to document accessibility items and lead paint status before lease signing.

  • The form was completed and stored digitally.
  • The completed record made it straightforward to respond to tenant accommodation requests and to demonstrate the owner provided required disclosures at the time of application.

Fertility Centers of Illinois — Program Housing

Clinic included housing disclosure as part of a patient relocation package to document housing features.

  • Workflow routed to patient and administrator.
  • Retaining the executed disclosure in the clinical records helped the organization meet program audit requirements and kept a clear chain of custody for the information.

Practical tips for accurate and efficient disclosure handling

Adopt consistent processes to reduce errors, preserve evidence, and streamline applicant communications.

Use consistent templates
Standardize a single form template across properties and update centrally; version control reduces inconsistent phrasing that can create legal ambiguity.
Capture audit data
Record signer email, IP address, timestamp, and method of authentication to strengthen evidentiary value in disputes.
Train staff
Ensure owners and agents understand how to complete accessibility and hazard fields accurately and when to escalate legal questions.
Reissue on changes
If remediation or material property changes occur, reissue the disclosure and document the updated effective date and signer.

eSignature vendor pricing and feature snapshot for disclosure workflows

Common vendor pricing and feature differences relevant to high-volume disclosure workflows and compliance-conscious environments are summarized below.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial Yes, 7-day trial Varies by plan Varies by plan Varies by plan Varies by plan
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

Frequently asked questions about the Fair Housing Disclosure Form

Answers to common questions about signing, notarization, e-signatures, retention, and legal risk for disclosure forms.


Need help? Contact support

be ready to get more
Join over 28 million airSlate SignNow users
Sign Now
Company
Forms
Pricing
Resources
Knowledge base
Other Products
© 2026 airSlate Inc. All rights reserved.