checklist for welcome package · checklist for welcome package . this checklist should be used...

Checklist for Welcome Package This checklist should be used during the welcome and move in interview. Each item on the list should be checked as they are gone over with the resident. The interview should be conducted in the apartment and all amenities, appliances and operations should be covered both on the instruction sheet and demonstrated in the apartment. A unit inspection should be conducted at the completion of the introductory interview and both the resident and manager should sign the inspection sheet. This checklist should be signed last and placed in the resident’s tenant file. Included in the Welcome Package is the following:

o Welcome Letter from the President of Wesley Housing Corporation o Welcome Letter from the Vice-President/COO of Wesley Housing Corporation o Welcome letter from the Director of Housing for Wesley Housing Corporation o Welcome letter from the Regional Asset Manager o Welcome letter from the Manager o Foundation Letter and Wes the bear o Welcome letter from the Service Coordinator o Most Recent News Letter o Property Brochure o Community of Quality designation letter o Service coordinator Brochure o Send family welcome letter from manager to sponsor o Fair Housing notice o Reasonable accommodation request (Blank) o House Rules with each line initialed by the resident Pet application o Pet Rules or Assistive Animal Rules with each line initialed by the resident o Pet Application o Satellite Dish Rules o Operating instructions for the following:

o Heat and air-conditioning (and thermostat if present) o Stove and oven o Garbage Disposal (if present) o Commode water cut-off

o Under bath sink water cut-off o Under kitchen sink water cut-off o Water heater cut-off (if available) o Fire extinguisher (if available) o Vent Hood operation o Light switches o Call for aide pull cords or pendants and operation o Refrigerator care

o Furniture Floor protectors (For Tarkett Floors) o How to Care for Tarkett Flooring Instructions (if applicable) o Unit Inspection o Pictures of the apartment uploaded in Yardi on the resident screen

By signing this form I am certifying that I have received and understand all the information in the folder. I have also been told that the insurance for the property does not cover my personal property or the contents of my apartment. I also understand that renter’s insurance is available for between $15 and $30 per month and will cover my contents should something occur. I further understand that neither the owner nor management is responsible for finding alternative housing if my unit becomes uninhabitable even if the action that occurred was not my fault; however, renter’s insurance would cover the cost of alternative lodging in such an instance. I understand that renter’s insurance will cover my liability if I am at fault and without the insurance that I am responsible financially for my damages or actions. I understand that purchasing renter’s insurance would cover me for all these risks and management enthusiastically recommends that I find coverage and that the service coordinator can assist me in finding a policy and company that meets my requirements. Management in no way recommends or suggests any specific carrier or product. The choice of carrier and product rests solely with the resident. ______________________________________________________ ___________ Signature of Resident Date ______________________________________________________ ____________ Signature of Manager Date

Welcome Home!

As another proud member of the Wesley family I would like to also take this opportunity to welcome you to Wesley. There is nothing additional I can add but also hope that you will find your new home to be comfortable and safe, and that it meets all your expectations. I am very proud to be able to present our dedicated staff to you and your household and hope you will always feel free to utilize the site staff to make your home comfortable and happy.

As you have already learned, much of Wesley’s mission statement focuses on responding and providing caring services for you and your family. What you may not realize is how this mission began over 40 years ago. In the late 1960’s a group of individuals came together with a dream to assist folks being displaced from their homes and what grew out of that was a genuine desire to enhance the lives of the elderly.

Today, that desire is as alive as it was in the beginning and the good news is the number of incredible highly trained employees Wesley employs to keep the dream alive and expand the number of people being served throughout the Mid-South.

Again, thank you for choosing Wesley for your home and do not hesitate contacting any of the staff at your community if there is a problem or issue that needs to be addressed. I want to encourage you to become involved with the many activities offered, as well as your new neighbors. Some may be relatively new just like you while others have lived here for years and have so much history to share.

Jim Nasso Chief Executive Officer

Welcome to a Wesley Living Facility It is my pleasure to extend to you my heartfelt gratitude for choosing to live with us. We strive every day to make your apartment the home you want it to be. We want this facility and this community to be a place where you are proud to invite your family, that you find friends within the community, and activities that keep you entertained. We understand that you could have chosen many other places to live and I am excited that you have chosen Wesley.

I would like to take a moment to talk about our company. You have probably noticed the Mission Statement on the wall or someplace in the office area. If you have not seen it then I will tell you that it reflects what we achieve each and every day. It starts out by saying “In response to the love of God”. Each employee here at Wesley has a deep felt moral reason for being here. This is more a calling for our employees than a job. Our actions are guided each day because of that calling and we hope that our actions serve to create the home you want to live in. We hope to serve you in a manner that reflects how we want to be treated in our later years. Each employee has their own belief system just like our residents. We are open to all spirituality for our employees just like our residents.

Our mission statement goes on to say “…Wesley Senior Ministries, a family of caring services, is to provide for and facilitate the enhancement of living of elderly persons and their families…” Caring for elderly persons and their families is what we do. We think we do a great job but you are the person who decides that. If there is something we can do for you to make your home better, I urge you to speak to your manager about how we can best serve you. The manager is your best resource for making your apartment what you want it to be. If you need assistance with services that are not a part of your apartment then we have trained service coordinators ready to assist. Our service coordinators make up an interdisciplinary professional team who assist residents in financial, medical, social and personal services so that you can stay independent in your apartment. We want you to stay with us as long as possible.

We also have a team of incredible professionals who work to fix your apartment. Our maintenance staff will respond to emergencies 24 hours a day, seven days a week. If you have an emergency (fire, flood, heat and air) then just call our office and they will get someone to you as quickly as possible. Our site assistants are available most of the time after hours too. Again, just call the office and someone will get them to respond as quickly as possible. All of our routine maintenance can be scheduled through the manager during regular work hours.

Again, I would like to thank you for making your home with us. If you are dissatisfied with anything at any time there is a grievance procedure posted on the bulletin boards. It will tell you how to get a hold of people who can help when things just aren’t going right. Feel free to use that procedure to contact staff or myself when it is appropriate. May your stay here at Wesley be filled with great joy and I look forward to you having a home with us for many years.

Ron Budynas Vice-President of Operations and Chief Operating Officer

Welcome to a Wesley Living Facility

I would like this opportunity to welcome you to your new home at one of our Wesley facilities. My hope is that you will find your new home to be comfortable and safe and that it meets all your expectations. We strive to make our properties a place that you can be proud to call your home.

In the coming days you will have the opportunity to meet the staff. They will explain their role to you and offer to assist with your transition. Please do not hesitate contacting any of the property staff if you have any questions or concerns.

I also encourage you to take advantage of all the opportunities provided to our residents to socialize and to learn about issues that may affect your everyday life. We offer many activities and educational programs at our properties that are beneficial to our residents. Please review your monthly activity calendar and feel free to attend any and all activities that interest you.

Finally, we want you to be satisfied with your choice to come live with us. We have an “open door” policy and we want you to come to us if you feel we are not meeting your expectations. Please do not hesitate contacting any of the staff at your property if you feel there is a problem or issue that needs to be addressed. Again, welcome to your new home and I look forward to meeting you during my visits to your facility.

Anita Darnall Anita Darnall Director of Housing

Welcome to a Wesley Living Facility There’s no place like home! We’re certainly glad you made our community your new home. We hope your move-in process is going smoothly and that you are settling into your new residence. Wesley has a well trained staff here to assist you with any needs you may have concerning your new community. It is our goal to provide safe, comfortable, & affordable senior housing. In the coming days as you settle into your home you will find that our friendly staff will be here to help and guide you during and after your transition.

We encourage you as a new resident to become involved with all activities on site. You will find a schedule of events inside your Monthly Newsletter (provided monthly by your Community Manager) which is initially enclosed in your Welcome Folder. We love for our residents to be involved that way you are aware of the happenings and events within your new community. It is also a way to become familiar with the different programs or amenities in which your new home offers. For example your community may offer amenities such as the Community Networks/Library (allows you full use of computer and internet services and an array of books), Beauty Salon (onsite full Beauty Salon for your beauty needs), Activity Room (exercise equipment, pool table, games for leisure). You must get involved in order to know what amenities are specific to your community. We also have monthly activities such as Monthly Birthday Parties, Bingo, Aerobics, and Educational Seminars. We even provide transportation for monthly field trips. So there’s no reason to sit and be idled. Come on and join the fun!

We have a friendly and courteous staff on site to assist you with any issues that may arise. Also don’t hesitate to call me if I may be of any assistance to you. Once Again, I appreciate and would like to thank you for choosing to live with us. We are Glad you’re here. Always Remember, “There’s no place like home”. WELCOME HOME!

Josie Bowman-Williams Regional Asset Manager

Welcome to a Wesley Living Facility

Welcome! Welcome! Welcome!

Welcome to your new home here at Wesley Stage Park. My name is Michaela Gray and I am the community manager here. I have been with the company for several years now. As you start your new life here with us, you may have many questions concerning your new home and we are here to help with the transition. I can answer any questions concerning your lease, house rules, rent or anything concerning your living situations here. The on-site maintenance technician, John Tyler, can also help with questions you may have about maintenance for your home. Call us at 901-385-9330 any time. If we’re not available, someone will be happy to take your message and we’ll get back with you as soon as we can. Next, our Service Coordinator, Carol Reasons, will introduce herself within the first few weeks. She is here to help assist you with the many services available within our community and outside community services as well. She may also be reached at 901-385-0261.

Every month we will provide you with our community newsletter. This will list all our activities, trips, parties, events and updates about our community and your home. I am so pleased that you have selected our community to make your new home. Wesley Stage Park will remind you of a small town neighborhood. Everyone knows you by name and everyone looks out for one another to ensure safety. Our community is buzzing with activities. You can enjoy lunch with your neighbor, join in a game of bingo, or meet someone new at the mailboxes and chat for a while. I welcome you to your new home and I look forward to having you become a part of our 'small town' community.

Michaela Gray

Community Manager

Hi…

My name is “Wes”. I am the Goodwill Ambassador for Wesley Senior Ministries Foundation. Through generous and loving donations to the Golden Cross Senior Residents fund we are able to enhance the quality of the daily living and well-being of the residents of Wesley Living communities.

I have been assigned to welcome you to your new home and to do what I can to brighten your days.

My training includes being a “Certified Hug-ologist” and it is one of my favorite duties. So, be sure you take me up on my training.

Welcome home and with love,

Wes

Welcome to Wesley Stage Park Hi and welcome to our family! You are now part of one the friendliest communities in the area! We are an active group and dedicated to serving you. My position as a service coordinator is to assist you with locating services tailored to your individual needs. I also provide educational programs to promote health, wellness and more. I hope you will take time to benefit from these scheduled programs. It is a great learning experience plus an easy way to meet new friends!

Shortly after you get settled in your new home, I will be making a visit to introduce myself. During this visit I will be asking a few questions so we can become better acquainted. This will provide me additional information to help find just the right services for you. I will also try to answer questions about your new home and explain more about my role as a service coordinator.

My office hours are Mondays and Thursdays 8:00 a.m. – 4:30 p.m. and Wednesdays 1:00 p.m. – 4:30 p.m. so feel free to visit anytime. My door is always open to assist you.

Again, I would like to welcome you to Wesley Stage Park. I hope you will find everything you dreamed in your new home. I wish you the best and look forward to serving you.

Sincerely,

Carol Reasons

Service Coordinator

Your Wesley Living Facility

Welcome to your new home. We are very proud of our communities and the service we provide. One of our points of pride is our designation as a Community of Quality by the National Affordable Housing Management Association (NAHMA). When your property meets NAHMA’s high standards in physical maintenance, financial management, programs and services, employee credentials and other criteria, it becomes a member of an elite group. The community you are moving into has met those requirements. You may view the requirements on line at www.nahma.org/content/coq.html if you would like to see the details of the award.

Wesley Housing Corporation of Memphis is also proud that we are one of only eighteen management companies nationwide to have a high enough percentage of communities to qualify as a Corporate Partner. Over two thirds of all our communities are designated as communities of quality and we are adding more all the time.

Although we are proud of our accomplishments we continue to improve our services each day. Wesley Living is on the cutting edge of providing services to our families. From our environmentally friendly construction processes, to our green maintenance and management practices, to our extensive senior care services by our service coordinators; we are setting the pace for new standards in service delivery for senior families.

YOU and the Fair Housing ActThe Fair Housing Act protects persons with disabilities from

discrimination.

What does “fair housing” mean to you? The Fair Housing Act was passed in 1968, and now it prohibits discrimination in housing based on race, color, creed, religion, national origin, sex, disability and familial status (the presence of children under 18 in a household).

When most people think about “housing discrimination,” they think of someone being turned away from renting an apartment because of their race. But the Fair Housing Act goes much further than that. The Act protects you from discrimination even after you are accepted as a tenant.

Under the Fair Housing Act, you cannot be harassed because of your race, color, creed, religion, national origin, sex, disability and familial status (the presence of children under 18 in a household). You cannot be treated differently because of any of these factors. And you cannot be segregated into a certain part of the complex. You cannot be mistreated simply because you are African-American, Muslim or Middle Eastern. And you cannot be mistreated because someone of another race or nationality visits your apartment.

Your landlord must stop neighbors who are mistreating you based on any of the protected classes under the Fair Housing Act. If you have a disability, your landlord is required to allow you to have certain reasonable accommodations and reasonable modifications so that you can use your apartment like anyone else.

Your landlord cannot refuse to rent to you because you use a wheelchair or if you need a family member or assistant to help you with certain tasks. Your landlord cannot ask you about what medications you take or whether you are an “active senior” who can live without assistance. Your disabilities, if you have any, are your private business and are between you and your doctor.

If you live in a seniors-only complex, your landlord can legally refuse to rent to families with children, but this does NOT mean that your grandchildren cannot come to visit. The Department of Housing and Urban Development even requires government-funded seniors-only housing to allow children to live there because of the growing number of seniors who are now caring for their grandchildren. The Fair Housing Act Protects you at all times, in all kinds of housing.

What is a disability?

It is a physical or mental

impairment that substantially

limits a major life activity.

Point of Contact:

Atlanta Regional Office of FHEO

U.S. Department of Housing and Urban

DevelopmentFive Points Plaza

40 Marietta Street, 16th Floor

Atlanta, Georgia 30303-2806

(404) 331-5140(800) 440-8091

TTY (404) 730-2654

State of TennesseeHuman Rights Commission

Tennessee Tower312 Rosa L. Parks Ave.

23rd FloorNashville, TN 37243

(615) 741-5825(800) 251-3589

Reasonable Accommodations and Modifications Under the Fair Housing Act

Under the Fair Housing Act, people with disabilities are entitled to “accommodations” and “modifications” they need to live successfully.

A “reasonable accommodation” is an exception to a normal rule or policy if you need it due to your disability.

Examples:•You may need an assistance dog and not be required to provide a pet deposit, even if the complex does not allow pets.•You might need reserved parking because you have trouble walking.•You might have vision problems and may need someone to read the complex’s newsletters and announcements to you.•You might even need to break your lease early if you become too disabled to live independently and have to transfer to an assisted living facility or a nursing home.

What if you have trouble using your apartment or part of the complex? Your landlord must let you make “reasonable modifications” to your apartment and even to other parts of the complex.

Examples:•A ramp to get into your apartment or into the complex’s clubhouse or other amenities.•A light that flashes when the phone or doorbell rings if you have hearing issues•Lowered light switches or raised electrical outlets that you can reach from your wheelchair.•Wider doorways for a wheelchair or scooter.

Do you need a reasonable accommodation or modification?1. Put your request to the landlord in writing, for your own protection.2. You don’t have to tell the landlord what your disability is, but you have to show that the accommodation or modification is necessary.3. Be prepared to have your doctor or other medical professional, a peer support group, a non-medical service agency, or a reliable third party who is in a position to verify your disability provide documentation of your disability and the need for the accommodation or modification. This individual does not have to tell your landlord what your disability is.

Form APP-04b: Reasonable Modification Request Form Page 1 of 2

2/10/03 Southeastern Affordable Housing Management Association

REASONABLE MODIFICATION REQUEST FORM _________________________________[Name of property] is committed to the letter and spirit of the Fair Housing Act and Section 504, which, among other things, prohibits discrimination against persons with disabilities. In accordance with our statutory responsibilities and management policies, we will make reasonable modifications to an apartment or common area when such modifications may be necessary to afford persons with disabilities an equal opportunity to use and enjoy their housing communities. If you are requesting such a modification, please fill out this form and return it to the manager. Applicant and/or Resident’s Name: ________________________________________________ Address: ________________________________________________ Date of Request: ________________________________________________ Please describe the modification that you are requesting: ________________________________________________________________________________ ________________________________________________________________________________ 1. Do you consider yourself to have a disability? YES ______ NO _____ The Fair Housing Act and Section 504 defines disability as a physical or mental impairment that substantially limits one or more major life activities. The Supreme Court has determined that to meet this definition a person must have an impairment that prevents or severely restricts the person from doing activities that are of central importance in most peoples’ daily lives. 2. Please describe how the requested modification is necessary for your use and enjoyment of your

apartment community? (If needed, you may write on the back of this form or attach additional sheets of paper.)

________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Please provide the contact information for a professional third party verifier to whom we will send the attached form Name: _______________________________________ Position: _______________________________________ Address: _______________________________________ Telephone: _______________________________________

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Wesley Stage Park House Rules 1. Appropriate dress is required with regard to an adult community. 2. All garbage must be put in plastic bags and tied before being placed in

the trash chute. Syringes and other medical equipment must be disposed of in the proper containers. Garbage is not to be put out in hallways at any time.

3. Public drinking of alcoholic beverages is prohibited. Profanity and

inappropriate talk is also prohibited. 4. Reservations for private activities in any public area must be made

through the management office. A nominal deposit of $25.00 will be required at the time of the reservation and will be refunded if the area is returned to the same condition in which it was found.

5. Housekeeping tasks are the responsibility of the resident, which includes

flooring, carpeting and appliances. In accordance with state statutes the unit should be kept in the same state of cleanliness as it was when the resident moved in.

6. Guests including children are the responsibility of the resident. All

visitors should be accompanied by the resident at all times except when entering or exiting the building or when doing chores for a resident. It is a violation of the lease for anyone who has been banned from the community to be allowed entry into your apartment.

7. The office (including the answering service) and/or site assistant shall

process all maintenance requests. 8. The vehicles of all residents must be registered at the office. Inoperable

vehicles and those that are unregistered will be towed at owner’s expense. Oversized vehicles such as boats, RV’s, trailers, large trucks, etc., are not permitted.

9. Extensive repair work and washing of vehicles is not allowed on the

property. Residents should register only the number of vehicles as there

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are licensed drivers on the lease. Management may allow more vehicles if room permits.

10. Residents and their guests have NO designated parking areas;

however, those spaces closest to the doors of the apartments should be used by residents with guests using spaces further away. Illegally parked vehicles will be towed at the owner’s expense.

11. Do not hang items outside of your apartment such as mops, brooms,

etc. You may not hang anything outside to dry such as rugs, sheets, clothing, etc.

12. Porches, hallways, entrances, sidewalks and patios must be kept free of

clutter. Only furniture designed for outdoor use will be permitted in outdoor locations. Grills may also be stored in these areas on the ground floor but may only be used when at least 25 feet from any building. Grills may not be stored or used above the first floor. Violation of this rule is also a violation of fire code and resident will receive a three day notice to vacate. Storage of other items is not permitted.

13. The laundry room is located on community premises. Please do not

leave your clothing in the washers and dryers as management is not responsible for lost or stolen items. Management may remove clothing from unattended machines. The laundry room is for use of residents.

14. No door-to-door solicitations are allowed. 15. Painting or removing any fixtures from the apartments will be

performed by maintenance only. Please notify the management office to request these services. Maintenance staff is not allowed to perform personal tasks for residents, i.e. moving furniture, repairing personal items, etc. Do not put wallpaper or contact paper on the walls.

16. Do not change or add extra locks on your doors. The original locks

must be the only locks installed. The resident will be responsible for the cost of restoring original lock systems.

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17. Smoking near oxygen is not permitted. A three day eviction notice will be given to any violations of this rule.

18. Overnight guests are welcome. Please give the office staff or site

assistant notice when overnight guests are on the premises. This is important for fire safety. If a guest is staying longer than three (3) nights in any thirty-day period, residents must get advance, written permission from management. Under no circumstances may a guest stay for thirty (30) days or more in any one year.

19. If management suspects that a guest has moved into a resident’s unit,

management has the right to demand proof that a guest is not living on site. Acceptable proof includes current leases, utility bills, pay stubs, bank statements, car registration, mortgage coupon or house deed. The following proof will not be accepted: driver’s license, telephone book listing, tax returns or any documents that may contain out-of- date information.

20. It is prohibited to operate any business from your apartment. This

includes, but is not limited to, computer-based businesses, babysitting on a regular basis, etc.

21. Bulletin boards are to be used for messages approved by the

management. 22. In low rise, mid-rise, and high-rise apartment visitors must use the

main entrance as this is the only authorized entrance to the building for visitors and they must sign in. Do not let anyone in that is not your guest. Do not prop the side or exit doors open. Do not use the side exit doors as entry doors unless these doors have been approved for this use.

23. Each resident who lives in a low rise, mid-rise, or high-rise apartment

will be supplied with a key, door entry card or fob. To assure long life for your card, please put it in your wallet or billfold and treat it as you would a credit card. Do not punch holes in your card. Never give your key, door entry card or fob to a family member or friend; it is for your use only. Door entry cards or fobs claimed as lost or stolen will be unregistered and will not operate.

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24. Only the appliances that come with the apartment are authorized to be used in the apartment. No appliance may be used in an apartment which was not designed for that appliance such as freezers, auxiliary heaters, air-conditioners, clothes washers and dryers, ceiling fans, etc. Resident owned appliances that are approved for use must be maintained in good operating condition or removed immediately.

25. Rental areas for residents include the area inside the apartments. If

there is a patio outside the back door and it is originally poured as part of the foundation, then it is included in the rental area as well. Entry areas are not part of the rented space and management permission should be obtained before using these areas as personal space. No garden areas are included in the rental areas. Garden areas may be approved in writing from the management but will be restricted to that area approved in writing only. Gardens allowed to become unkempt and overgrown will be mowed by management. Management will have the sole right to limit or restrict garden areas and residents shall restrict their activities to those areas only.

26. Gardens are limited to annuals and perennials. Shrubs may be planted

but become the property of management upon notice to vacate. Abandoned gardens must be restored to original condition before garden was planted. No structures, shelves, etc. are permitted in garden areas and pots, statues and figurines should be limited to 4 total. There should be no items attached to the building.

27. In the event a resident hires or receives services from an outside

vendor who will be on the premises more than 6 hours in a week or more than two days per week then the organization must provide proof that a background check has been performed on any employee who may enter the property. If the vendor is an independent contractor and sole proprietor then a background check will be run at the office at the vendor’s expense. Vendors must also certify who their insurance agent is and that they have liability insurance and dishonesty bond. Vendors who do not meet these requirements will be banned from the premises.

28. The possession of firearms on this property must be in strict

compliance with all federal and state laws. Failure to comply with such federal or state laws constitutes a material noncompliance with

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the terms of the lease. Possession of a loaded firearm in the common spaces of this complex without authority is a violation of state law and constitutes a material noncompliance with the lease. See management for other restrictions and policies on the possession of firearms.

29. Resident belongings and furniture must not be excessive within the

apartment. A walkway of 48 inches must be maintained into and through each room inside the apartment so that emergency medical personnel can easily access the apartment. Additionally, items may not be stacked higher than 60 inches and must maintain a minimum of 6 inches from the wall so that pest control can access the wall areas to control pests and maintenance can access electric outlets. Air returns must have a clearance of three feet to ensure proper operation of the HVAC system. Patios must maintain the same 48 inch access in front of the patio door. Patio door access must be clear for the entire patio to the common area. Further information may be obtained from your manager under the Wesley Space Use Policy in the rental office.

30. Residents must abide by the current Wesley Space Use Policy.

31. Furnishings (including furniture, wall hangings, decorations, etc.) in the common spaces of the community belong to the property. No personal furnishings are allowed in common spaces without written permission from management and the items, once put in common spaces, become the property of management.

This is to certify that I have read the House Rules; I fully understand their content and I agree to abide by them. Tenant: _________________________________________ Date: _________________________ Spouse: _________________________________________ Date: _________________________

1

PET APPLICATION Wesley Stage Park

Resident Name: ____________________________

Apartment Number: _______________

Type of Pet: ______________________ Age of Pet: ___________________

Name of Pet: _____________________________ Weight of Pet: ___________

If pet is a juvenile then estimate the weight of Pet at Maturity: ____________ (Use AKC

estimate of breed weight)

1. How long have you owned this pet?

__________________________________________________________________

2. Has your pet lived in rental housing before? ________

If yes, fill in the following:

Name of Apartment Complex: _________________________________________

Manager’s Name: ___________________________________________________

Telephone Number: _________________________________________________

1. Is this an assistance animal which alleviates one or more identified symptoms

of a disability? Yes: ______ No: ______

2. Date of pet’s last vaccinations: __________________________________

3. County License Number: _______________________________________

4. Type of Flea Control Program:___________________________________

5. Has your pet been spayed or neutered? Yes: ________ No: ________

6. If your pet is a dog, does the pet respond to voice command?

Yes: _______ No: ________

2

If no, please explain:

__________________________________________________________________

__________________________________________________________________

1. Name of persons who will take responsibility for your pet in case of emergency (Attach written verification to this application in accordance with pet policy.) Name: _________________________________________________________

Address: _______________________________________________________

Phone Number (Day): _______________ (Night): ______________________

Name: _________________________________________________________

Address: ______________________________________________________

Phone Number (Day): _________________ (Night): ____________________

2. Veterinarian (who can verify inoculations and flea control program):

Name: _________________________________________________________

Address: _______________________________________________________

Phone: ________________________________________________________ This is to certify that all information is correct to the best of my knowledge and that I have read

the Wesley Stage Park Pet Ownership Rules; and fully understand their content. I accept

financial responsibility for the entire amount of any damages or injury to persons or property,

which may occur, because of my pet.

_________________________________________ Signature

_________________________________________ Name Typed

_________________________________________ Date

Revised November 18, 2010

PET OWNERSHIP RULES These rules are intended to serve as pet ownership guidelines for Wesley Stage Park. Modification of these rules

is permitted, but must first be cleared by management.

LOCAL ATTORNEY

As with any landlord-tenant issue, state or local laws may affect this policy. It is advisable to check with your

attorney.

DEFINITION

For the purpose of these pet rules, “pet” is defined as a domesticated small animal traditionally kept in the home

for pleasure rather than for utility or commercial purposes. Pet is understood to be limited to dogs, litter-box

trained cats, birds (specifically parakeets, canaries or finches), small caged rodents (i.e., hamsters, gerbils and

guinea pigs), fish and turtles. These rules, in compliance with federal regulations, distinguish cats and dogs

from other pets as “fur-bearing” animals. Except where otherwise indicated, these rules apply principally to

dogs and cats.

ADMISSION OF PETS

All residents must sign these rules to signify receipt and understanding. Acceptance of dogs and cats is upon

request, subject to the below requirements. There is no formal admittance procedure for small birds, small

caged animals or fish.

PET DEPOSIT

Each dog and cat owner must provide a pet deposit in an amount of $300.00 in addition to the standard rental

security deposit. This deposit shall be paid as follows: A $50.00 deposit shall be paid upon registering the pet

and an additional $10.00 per month for 25 months, until the full deposit is paid.

This deposit shall be maintained in an account as provided for by State law and HUD regulations for the

maintenance of security deposits. The amount of the pet deposit is established to reflect the potential cost of

replacing carpeting and other furnishings as a result of pet odors, stains and damage. Upon termination of

residency by the pet owner, or removal of all dogs or cats from the owner’s apartment, the pet deposit will be

refunded LESS any amount needed for repairs or maintenance.

Revised November 18, 2010 2

REGISTRATION

Every dog and cat must be registered with management upon admission or upon bringing the pet onto the

property, and ANNUALLY thereafter on the anniversary date of the pet’s registration. Registration of dogs and

cats requires proof of current dog or cat licensure, including up-to-date proof of inoculations from a

veterinarian. Cats must have current inoculations, as appropriate to the species including, but not limited to,

feline distemper shots. Dogs shall have certificates of appropriate inoculations for heartworm, parvo and rabies.

Such tests, vaccines or shots shall be maintained on an annual basis, unless otherwise specified by a

veterinarian. A verification letter that a cat or dog has been spayed or neutered is required prior to admission

unless it is under age (see Section on “Altering,” following). Evidence of a flea control program and

verification of an alternate caretaker are also required as discussed on the following pages.

Prior to admittance of a pet into the facility, applicants/residents must complete the Pet Ownership Application,

all information of which will be verified.

LIABILITY

Residents owning pets shall be liable for damages to their unit caused by their pet and all cleaning, defleaing

and deodorizing required because of such pet up to the amount of pet/security deposits paid.

PET RESTRICTIONS

No more than one fur-bearing pet is permitted in an apartment. There may be no more than two birds or small

caged animals per apartment. Birds must be caged at all times. No limit is placed on the number of fish;

however, the size of the fish tank (which is limited to one) may not exceed 10 gallons. Residents may not alter

their unit, porch (if existing) or unit area to create an enclosure for a pet. Should any pet give birth to a litter,

the resident shall immediately remove all offspring from the premises.

LOCATION OF PETS IN THE BUILDING

There are no restrictions on the location of fish, small birds and small caged animals in the residents’ apartment.

Pets shall not be brought into public lobbies, dining areas, laundry areas, community rooms, atriums (where

existing) or other public gathering spaces except that the resident may transverse these areas if it is the most

direct route to the outside of the building. No doghouses or animal runs allowed on premises.


SIZE

Dogs shall weigh no more than 20 pounds at time of maturity. It should be understood that pets acquired, as

puppies shall, at maturity, not exceed these weight and height restrictions. The American Kennel Club

determines the standards for weight and height at maturity of a breed, be it mixed or purebred.

LICENSURE AND TAGS

Every dog and cat must wear the appropriate local animal license, a valid rabies tag and a tag that bears the

name, address and phone number of the owner. All licenses and tags must be current.

SANITATION

Dogs and cats are required to be “house-broken”. Owners must provide litter boxes for cats and they must be

litter-box trained. Litter boxes must be kept neat and sanitary at all times with regular cleaning. Dogs must be

able to exercise outside the building. Management shall designate a space or spaces to be used exclusively for

exercising and defecating which must be cleaned up immediately. Residents are responsible for removing pet

waste outside the unit and on the complexes grounds. Droppings must be properly disposed of by placing in a

trash bag (plastic) and then placing in the dumpsters provided by management.

FLEA CONTROL

Upon admission of a pet, the pet owner shall file with management proof that a flea control program acceptable

to management will be maintained for a fur-bearing pet.

BEHAVIOR and NOISE

Residents shall not permit their pet to disturb, interfere or diminish the peaceful enjoyment of other residents.

The terms disturb, interfere and diminish shall include but not be limited to barking, howling, “caterwauling,”

aggressive behavior, chirping, scratching, biting and like activity. Please exercise common courtesy to residents

and staff in dealing with your pet.

LEASHES

Dogs and cats must be on hand-held leashes no longer than eight (8) feet in length at all times outside the

confines of the pet owner’s apartment. All leashed animals must be controlled by an adult. Pet owners should

avoid areas of the complex where they may come in contact with an allergic resident or where food is being

served.


ALTERNATE CARETAKER

The pet owner must supply management with the names of at least two persons, who will be willing to assume

immediate responsibility for the pet in case of an emergency (i.e., Written verification of the willingness of

these persons to assume alternate caretaker responsibility is required. It is the responsibility of the pet owner to

inform the management of any change in the caretakers. Any expenses relating to alternate caretakers are the

responsibility of the pet owner.)

In cases of emergency, when the management is unable to reach the alternate caretaker (s), the pet owner agrees

to allow management to place the pet in an appropriate boarding facility within 24 hours, with all fees and costs

borne by the pet owner. Within five days of such an emergency, the resident, his agent, family or estate must

make arrangements with the holder of said pet as to its disposition and shall be responsible for all obligations,

financial and otherwise, in such disposition. After 5 days the animal will be turned over to animal control

unless other arrangements have been made by the resident or resident’s representative or estate. The resident pet

owner absolves management and/or its agents of any or all liability, financial or otherwise, for actions taken on

behalf of the pet owner, or the well being of the pet.

SICK OR INJURED ANIMALS

No sick or injured pet will be accepted for occupancy without consultation and written acknowledgement of a

veterinarian as to the condition of the pet’s ability to live in an apartment situation. Acceptance, regardless of

Documentation and consultation, is the prerogative of the management. Admitted pets, which suffer illnesses or

injury, must be immediately taken for veterinary care at the resident pet owner’s expense.

ALTERING

Female dogs and cats over six months must be spayed and males over eight months must be neutered, unless a

letter is received by a licensed veterinarian giving medical reason why such action is detrimental to the pet’s

health.

VISITING ANIMALS

Visitors may bring fur-bearing animals consistent with these rules with advance written permission of the

management. If the visiting pet is in the apartment for more than 14 consecutive days, the full pet deposit will

be required in the amount of $300.00.


SERVICE ANIMALS

Animals to assist the visually and/or hearing impaired and other people with disabilities are not required to meet

the requirements of, and are exempt from these pet rules.

COMPLAINT PROCESS

Management will have a system for handling complaints regarding pet ownership, which will involve review by

management and if practical, a recommendation by the residents and/or the resident association (where

existing).

MANAGEMENT REVIEW of APPLICATION

Management will review pet owner’s application and verify all information to determine whether the pet should

be admitted into the community. Management reserves the right to prohibit the admission of any pet in cases

where it determines the pet or pet owner will not be able to meet the requirements of these pet rules.

RULE ENFORCEMENT

Any tenant who is sent a written notice of pet rule violations by management may be required (after private

conference), to remove the pet from the premises, and provide management with a signed affidavit stating that

the dog or cat is no longer on the premises and will not return in the future. Misrepresentation of this affidavit

is grounds for eviction of the resident. The notice of violation will contain a brief statement of the basis for the

determination and the pet rule(s) allegedly violated. The notice will be in accordance with HUD guidelines and

the lease. A three-day notice may be invoked if the allegation/complaint concerns a violent or aggressive

animal. The pet of a guest that violates these rules is subject to immediate eviction from the community.

The residents’ privilege of having a pet in the community is subject to the rules above. This privilege may be

revoked subject to the procedures in this section should the animal threaten the general safety and health of

other residents or if the pet creates problems in the area of general cleanliness and sanitation.

I have read and understand the above pet policies. I agree to abide by them. I understand that my pet deposit

will be returned to me provided all terms and conditions of the pet policy have been met (less any amount

needed for repairs or maintenance).


I/we Do/Do NOT have a pet at this time. (Circle the one that applies)

_________________________ ________

Resident Date

_________________________ ________

Resident Date

Initial Pet Deposit Paid $50.00 ______ _______ ______________

Mgr initial Date Receipt Number

Remainder at $10 per month scheduled with rent for 25 months: From ________ To: _________

________ _________

Mgr. Initial Date

Satellite/Antenna Installation Policy

The owner hereby acknowledges Resident’s right to install a “Section 207 reception device”, defined as a Satellite Dish one meter or less in diameter as provided in Section 207 of the Telecommunications Act of 1996. Satellite dishes or antennas are permissible on a private patio/deck or personal garden area that is part of the unit that is restricted only to the resident, their guests and the landlord. ALL common areas are excluded. Installers and the residents on the lease must sign Wesley’s Notice of Restrictions. For safety reasons, doorways may not be blocked by the placement of the dish or antenna. No cables may lay across doorways or regular traffic areas within rental space. Dish/antennas must be removed when service is discontinued or at move-out, whichever comes first. Resident and installer acknowledge that they have or will install a Section 207 reception device within Resident’s leasehold, which for purpose of this lease document is defined as exclusive-use space including patio or garden area. Resident further acknowledges that he/she and installer will not drill holes through exterior walls or doors of the apartment unit and will not attach a Section 207 reception device in any manner, to the apartment building’s roof or exterior wall. Resident and installer agree to use their best efforts to install the Section 207 reception device in a proper professional manner, using the techniques recommended by the device manufacturer, for temporary installation (e.g. weights and stands). Resident acknowledges that he/she will be financially responsible for any damage to owner’s premises or personal property injury to person(s) caused by the installation and/or existence of a Section 207 reception device, other than normal wear and tear. __________________ ______________ Resident Date ________________________ ___________________ Resident Date ________________________ ___________________ Installer Date _________________________ ___________________ Authorized Agent for Owner Date

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Appendix 5��5(9��

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Public reporting burden - HUD is not requesting approval of any burden hours for the move-in/move-out inspection report since use of move-in/move-out inspection reports are a standard business practice in the housing rental industry. This information is required to obtain benefits and is voluntary. HUD may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB control number. The owner/management agent and tenant together conduct a move-in/move-out inspection to document the condition of the unit at the time of move-in/move-out. Conducting move-in/move-out inspections are a standard business practice in the housing rental industry and are used for determining damages caused by the tenant during tenancy and allowable deductions from the tenant’s security deposit held by the owner. This information is authorized by 24 CFR 5.703 and 5.705, 886.123, 886.223 cover unit inspections. This information is considered non-sensitive and does not require any special protection. �

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checklist for welcome package · checklist for welcome package . this checklist should be used...

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