Rental Property Registration Form

Voluntary Pilot Program through Environmental Health Services at THD

Rental Property Registration Form

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Contact Information

Owner/Company Name*

Corporate Officer/Registered Agent Name*

Email Address*

Email Address Confirm Email Address

Property Manager Phone Number*

Owner Address

Street Address Address Line 2 City State ZIP Code

Property Manager Company Name

(if applicable)

Property Manager Agent*

Property Manager Address

Street Address Address Line 2 City State ZIP Code

Property Manager Email Address*

Email Address Confirm Email Address

Phone Number*

Property Type

Single Family

Duplex

Apartment Complex

Rental Property Address(es)*

Year Constructed

Number of Bedrooms

Air Conditioning type

Heating System type

Smoke Detection System

Battery Operated

Hardwired

Central Station Monitored

Utilities included?

Yes

Comments

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Rental Property Registration Form

Rental Property Registration Form

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Copyright © 2023 Tulsa Health Department