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ERP 14 Day Notice Submission Form

Instructions

Please enter the information for up to seven Tenant(s) for each property/unit at a time. Each property/unit must be submitted separately. Please ensure the accuracy of the information you are entering as inaccurately entered information could result in a resubmission and new 14 day time period.

Tenant Email Requirements

Please note that submissions without a tenant email address will be subject to processing delays of up to 2 weeks. All other submissions will be processed within 2 days. If you have any issues with this form, please reach out to npowers@mediationclarkcounty.org

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Please enter your full name
Check your email address for correct formatting. Example: bill@gmail.com. Fake email addresses will not pass validation, this must be the actual tenants email address.
Phone number must be 10 digits. Do not put a "1" in front of the phone number.
Please enter your full name
Check your email address for correct formatting. Example: bill@gmail.com. Fake email addresses will not pass validation, this must be the actual tenants email address.
Phone number must be 10 digits. Do not put a "1" in front of the phone number.
Please enter your full name
Check your email address for correct formatting. Example: bill@gmail.com. Fake email addresses will not pass validation, this must be the actual tenants email address.
Phone number must be 10 digits. Do not put a "1" in front of the phone number.
Please enter your full name
Check your email address for correct formatting. Example: bill@gmail.com. Fake email addresses will not pass validation, this must be the actual tenants email address.
Phone number must be 10 digits. Do not put a "1" in front of the phone number.
Please enter your full name
Check your email address for correct formatting. Example: bill@gmail.com. Fake email addresses will not pass validation, this must be the actual tenants email address.
Phone number must be 10 digits. Do not put a "1" in front of the phone number.
Please enter your full name
Check your email address for correct formatting. Example: bill@gmail.com. Fake email addresses will not pass validation, this must be the actual tenants email address.
Phone number must be 10 digits. Do not put a "1" in front of the phone number.
Please enter your full name
Check your email address for correct formatting. Example: bill@gmail.com. Fake email addresses will not pass validation, this must be the actual tenants email address.
Phone number must be 10 digits. Do not put a "1" in front of the phone number.
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Please provide how many months behind is a tenant behind in rent
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Only PDF or Word Doc files are allowed. pdf, doc or docx extensions. Please only upload the last two pages of the ERP notice. File size is limited to 1500k
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If you are receiving a message that your file is too large please ensure that you are uploading ONLY the 2 page ERP notice and your 14 Day notice to vacate (1-2 pages total) in a lower resolution or compressed PDF file. If you are having issues compressing your PDF, here is a link to a free online compression tool offered by Adobe: Adobe Compression Tool

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