Residential Rental
Application
Residential Tenancies Act 1997 · Section 29C
CONSUMER
AFFAIRS
VICTORIA
AFFAIRS
VICTORIA
A · Info
B · Rights
C · Disclosures
D · Property
E · Applicant
Part AImportant Information
For the rental provider
- Rental auctions are prohibited under law. You may be fined if you invite prospective renters to offer more than the advertised rent.
- You are required to include Part B – Statement of information for rental applicants in all applications for rental agreements.
- You must complete Part C – Mandatory disclosures checklist before giving this form to an applicant. You may be fined if you fail to do this.
- You cannot charge fees for this application.
- The personal information provided is confidential and must only be used to assess suitability for the property.
- Before the successful renter moves in, you must give them 2 signed copies of the Condition report. You may be fined if you fail to do this.
- If the application is unsuccessful, this form and any copies should be destroyed.
For the applicant(s)
- Each prospective renter should complete a copy of this application form.
- Contact the rental provider/agent 2 business days after lodging to check if you were successful.
- If successful, you may be required to:
- produce ID (usually a driver's licence or passport)
- pay one month's rent in advance
- pay the bond amount listed on this form
- complete a Residential tenancy agreement to secure the premises
- Before moving in, the rental provider must give you 2 signed copies of the Condition report.
- The rental provider's insurance policy does not cover your possessions. It is your responsibility to insure your possessions.
Part BStatement of Information for Rental Applicants
Required by lawThe following statement is required by Schedule 1 of the Residential Tenancies Regulations 2021 and cannot be altered.
Discrimination is treating, or proposing to treat, someone unfavourably because of a personal attribute, or imposing an unreasonable requirement that disadvantages persons with a personal attribute.
In Victoria it is unlawful to discriminate against someone in relation to certain personal attributes. The following are some protected attributes:
- Age
- Disability (including physical, sensory, intellectual disability and mental illness)
- Employment activity
- Gender identity & intersex status
- Marital status or parental status
- Physical features
- Political or religious belief or activity
- Pregnancy or breastfeeding
- Race
- Lawful sexual activity or sexual orientation
- Association with someone who has these attributes
Getting help
VCATApply for compensation orders if you have been unlawfully discriminated against.
vcat.vic.gov.au · 1300 018 228
vcat.vic.gov.au · 1300 018 228
Victoria Legal AidFree legal information and advice for eligible Victorians.
1300 792 387
1300 792 387
VEOHRCVictorian Equal Opportunity & Human Rights Commission.
1300 292 153
1300 292 153
Part CMandatory Disclosures Checklist
A rental provider is required by law to disclose particular information before a renter enters into a rental agreement. Rental provider to tick boxes as applicable – you must answer every question.
| Disclosure item | Yes | No |
|---|---|---|
| 1. I intend to sell the premises | ||
| If Yes: | ||
| a. I have engaged an agent to sell the property | ||
| b. A contract of sale has been prepared | ||
| 2. A mortgagee is taking action to possess the premises | ||
| a. A mortgagee has commenced proceedings to enforce the mortgage | ||
| 3. I am the owner of the property | ||
| or I am not the owner but I have a right to rent out the property | ||
| 4. The premises are supplied from an embedded electricity network | ||
| If Yes, provide operator details: | ||
| Trading name of embedded network operator | ||
| ABN of embedded network operator | ||
| Phone number of embedded network operator | ||
| Website of embedded network operator | ||
| Electricity tariffs and all other fees and charges | ||
| 5. To the best of my knowledge, the property has been the location of a homicide in the last 5 years | ||
| 6. The property meets the rental minimum standards | ||
| 7. In the last 3 years, I have received repair notice(s) for mould or damp caused by the building structure | ||
| 8. Date of last electricity safety check | ||
| 9. Date of last gas safety check | ||
| 10. Date of last pool barrier compliance check (if applicable) | ||
| 11. There are outstanding recommendations from the electricity or gas check | ||
| 12. The property is a heritage listed place on the Heritage Register | ||
| 13. To the best of my knowledge, the property has been used for drug trafficking or cultivation in the last 5 years | ||
| 14. To the best of my knowledge, the property has asbestos based on inspection by a suitably qualified person | ||
| 15. To the best of my knowledge, the property is affected by a building or planning application | ||
| 16. The premises are subject to a notice, order or declaration relating to building defects or safety concerns | ||
| 17. There is a current domestic building work dispute under the Domestic Building Contracts Act 1995 | ||
| 18. There is a current dispute under Part 10 of the Owners Corporations Act 2006 | ||
| 19. The premises is subject to any owners corporation rules | ||
Part DRental Provider / Agent Details
1Rental property details
2Property manager details
Part EApplicant Information
3Applicant details
4Previous rental provider / agent
5Employment details
6Current employment
years
months
7Previous employment
years
months
8References
Referee 1
Referee 2
9Pets
10Applicant's declaration
I declare that the information given on this form is true and correct to the best of my knowledge.
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