top of page

HOME
ABOUT
PRACTICE AREAS
INTAKE
CONTACT
More...

Use tab to navigate through the menu items.

INTAKE FORMS

See below for the most common court forms requested. If you can't find what you're looking for, please feel free to contact the Law Offices of Jennifer R. Snyder. We will gladly assist you in right direction for your legal case.

CALL NOW 510-573-1043

Date*

Email

Tenant First and Last Names*

Property Address*

Landlord's Name & Contact Info*

Property Management Name & Contact Info

Move-In Date*

Move-Out Date*

Initial Rent*

Any Rent Increases*

Number of Bedrooms*

Number of Units on Property?*

Problem 1

Describe with as much detail as possible. Example of problems: Appliances, ceilings, common areas, doors, electrical, floors, garbage facilities, heat, hot water, locks, mold, rodents, bugs, shower, sinks, stairs, toilets, walls, water supply, windows, etc.

When Did It Occur? How Long Did It Last or Was it Intermittent?

Did the Landlord Attempt Any Repairs?

Yes

No

If You Repaired It, How Much Did It Cost?

Problem 2

Describe with as much detail as possible. Example of problems: Appliances, ceilings, common areas, doors, electrical, floors, garbage facilities, heat, hot water, locks, mold, rodents, bugs, shower, sinks, stairs, toilets, walls, water supply, windows, etc.

When Did It Occur? How Long Did It Last or Was it Intermittent?

Did the Landlord Attempt Any Repairs?

Yes

No

If You Repaired It, How Much Did It Cost?

Problem 3

Describe with as much detail as possible. Example of problems: Appliances, ceilings, common areas, doors, electrical, floors, garbage facilities, heat, hot water, locks, mold, rodents, bugs, shower, sinks, stairs, toilets, walls, water supply, windows, etc.

When Did It Occur? How Long Did It Last or Was it Intermittent?

Did the Landlord Attempt Any Repairs?

Yes

No

If You Repaired It, How Much Did It Cost?

Problem 4

Describe with as much detail as possible. Example of problems: Appliances, ceilings, common areas, doors, electrical, floors, garbage facilities, heat, hot water, locks, mold, rodents, bugs, shower, sinks, stairs, toilets, walls, water supply, windows, etc.

When Did It Occur? How Long Did It Last or Was it Intermittent?

Did the Landlord Attempt Any Repairs?

Yes

No

If You Repaired It, How Much Did It Cost?

Problem 5

Describe with as much detail as possible. Example of problems: Appliances, ceilings, common areas, doors, electrical, floors, garbage facilities, heat, hot water, locks, mold, rodents, bugs, shower, sinks, stairs, toilets, walls, water supply, windows, etc.

When Did It Occur? How Long Did It Last or Was it Intermittent?

Did the Landlord Attempt Any Repairs?

Yes

No

If You Repaired It, How Much Did It Cost?

Do You Have Any Physical Injuries From Your Tenancy? (Ex. Bed Bug Bites, Sinus Issues Related to Mold?)*

Yes

No

If Yes, Please Elaborate.

Do You Have Emotional Injuries/Distress From Your Tenancy?*

Yes

No

Did You See a Doctor for Emotional or Physical Injuries?*

Yes

No

Did You Miss Work Due to the Problems at Your Unit?*

Yes

No

Do You Have Pay Stubs Showing the Missed Time?*

Yes

No

Did the City Code Enforcement, County Vector Control, and/or Housing Authority Inspect or Make a Report?*

Yes

No

Were You Evicted?*

Yes

No

Do You Owe Back Rent?*

Yes

No

Did Your Landlord Serve You With a Notice to Vacate?*

Yes

No

Do You Believe That The Landlord is Retaliating or Discriminating Against You?*

Yes

No

Did You Make Any Repairs?*

Yes

No

If You Made Repairs, Do You Have Receipts or Any Proof of Repairs?

Yes

No

Do You Have a Copy of Your Lease?*

Yes

No

Do You Have Copies of Any Notices Given to You by The Landlord?*

Yes

No

Do You Have Copies of Any Notices Given to You by the City/County/Housing Authority?*

Yes

No

Do You Have Letters, Emails, or Texts with Your Landlord?*

Yes

No

Do You Have Photos of the Correspondence?*

Yes

No

Any Additional Comments, Questions, or Info You May Have

people in a meeting

LET US HELP YOU!

ADDRESS

39675 Cedar Blvd. Suite 250, Newark, CA 94560

PHONE

FAX

(510) 573-3156

EMAIL

jennifer@jrslawoffices.com

OFFICE HOURS

Monday - Saturday 9:00 am - 6:00 pm

Name*

Email*

Phone*

How can we help?*

The Law Offices of Jennifer R. Snyder

39675 Cedar Blvd, Suite 250

Newark, CA 94560

P. (510) 573-1043

F.(510) 573-3156

E. jennifer@jrslawoffices.com

Business Hours

Mon: 9 AM - 6 PM

Tue: 9 AM - 6 PM

Wed: 9 AM - 6 PM

Thu: 9 AM - 6 PM

Fri: 9 AM - 6 PM

Sat: 9 AM - 6 PM

Sun: Closed

© 2020 - 2025 Law Offices of Jennifer R. Snyder. Photo credits: DepositPhotos. Proudly created by First Day Social

See Privacy Policy | See Accessibility Statement & Cookies Policy

Disclaimer: Nothing on this website is intended to create an attorney-client relationship or provide legal advice. This website is informational only.

bottom of page