Rental Property Registration Form

Voluntary Pilot Program through Environmental Health Services at THD

Rental Property Registration Form

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Contact Information

Owner/Company Name*

Corporate Officer/Registered Agent Name*

Email Address*

Email Address Confirm Email Address

Property Manager Phone Number*

Owner Address

Street Address Address Line 2 City State ZIP Code

Property Manager Company Name

(if applicable)

Property Manager Agent*

Property Manager Address

Street Address Address Line 2 City State ZIP Code

Property Manager Email Address*

Email Address Confirm Email Address

Phone Number*

Property Type

Single Family

Duplex

Apartment Complex

Rental Property Address(es)*

Year Constructed

Number of Bedrooms

Air Conditioning type

Heating System type

Smoke Detection System

Battery Operated

Hardwired

Central Station Monitored

Utilities included?

Yes

Comments

This field is for validation purposes and should be left unchanged.

LOCATIONS

We have 10 locations across Tulsa County that offer a variety of services to help you and your family stay healthy.

Food

Housing

Environmental

Testing & Immunizations

Family Health Services

Public Safety and Data Services

Community Programs

Rental Property Registration Form