To schedule a Rental Licensing Interior Inspection as required by Rental Facilities Ordinance 197-6.

Please do not schedule unless the unit is vacant and ready for occupancy. Please call 301-739-8577 Ext. 103 for additional information or assistance.

Street #*

N/S/E/W

Street Name*

Unit #

Owner's Name*

Phone Number*

Contact Name (if different from Owner)

Additional Phone Number

Fax

Email*

Type of Inspection

Rental Interior

Re-Inspection of Rental (follow up to earlier inspection)

If a representative will not be present at the inspection please include the following information.

How can we access the unit?

Lockbox Combination

Results should be

Emailed Faxed

Left on site

Dates Available for Inspection and any additional information pertaining to the inspection

(Inspections cannot be performed on the same date this form is submitted)

By checking this box I hereby agree that the unit to be inspected is vacant and ready for occupancy. Electric and water accounts are active and functioning properly at the property. All permits have been finalized. I also acknowledge that when an inspection cannot be conducted it will be cancelled and re-scheduled for a later date.*

A confirmation of this request will be sent and you will be contacted by a Code Official.