Submit a Property to the Smoke Free Homes Registry

Owners or managers can submit this form to request that their property be added to the Smoke Free Homes Registry.

Property Information

Property name:

Property address line 1:

Property address line 2:

City:

State:

ZIP code:

Property contact phone:

Property contact email:

Property type:

Unit count:

Are any residents currently allowed to smoke in their unit because they are exempt or grandfathered from the smoke free policy?

YesNo

Does this property have accessible units that meet minimum ADA standards and Fair Housing Practices?

YesNo

Owner/Management name:

Management address line 1:

Management address line 2:

Management city:

Management state:

Management ZIP code:

Management contact phone:

Management contact email:

Manager name:

Manager contact phone:

Manager contact email:

You are required to submit a copy of the property lease agreement as a PDF document.

Lease document:

Add File

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