Request for Extension of Time to Complete Repairs

Property owners can request an extension of time to complete repairs using this form. After reviewing the submission, a BHA representative will notify the owner if their request was approved or denied. If approved, a BHA representative will also notify the tenant of the new completion date for repairs.

After submitting this form, you will receive an email with a copy of the completed form for your records.

Receive This Form by Mail or Pick-Up

Request for Extension of Time to Complete Repairs

"*" indicates required fields

Owner*

Date*

Email*

Enter Email Confirm Email

Phone*

Tenant*

Property Address*

Street Address Apt City State ZIP Code

The above referenced unit was inspected on:*

A re-inspection to confirm that all the required repairs are complete is currently scheduled for:*

What date are you proposing to have repairs completed by?*

Reason*

Contractor/repair person(s) not currently available.

Unable to make repairs in current weather conditions (i.e. heavy rains).

Major repair; need time to identify funds.

Tenant has not allowed access to unit for repairs after being given proper notice. I am taking appropriate actions under the lease.

Other

Please explain*

Please specify what repairs are being made:*

CAPTCHA

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Berkeley Housing Authority
1947 Center Street Fifth Floor, Berkeley, CA 94704
Telephone: (510) 981-5470 Fax: (510) 981-5480