Free Nevada Rental

							                           New website coming this fall from RHA!




                      Free Smoke-free Rental Housing Listings
To list your property on the smoke-free rental housing website, complete and return this form to RHA.
Complete a separate form for each property. Currently, only properties within the following counties may
be listed on the website: Sacramento, Yolo, Yuba, Sutter, Nevada, Placer, El Dorado and Amador.

RENTAL PROPERTY TO BE LISTED
Type of property:  Apartment       Single-family     Duplex     Tri-plex     Four-plex    Condo

   Manufactured Housing       Vacation Rental       Other (describe): ____________________________

Property name (if any) __________________________________________________ Date                 _ /      /___

Address ______________________________________________________________                    Unit __________

City ___________________________________________             State California    Zip code ______________

Phone (______)_______________         Email __________________________________________________

Fax (______)____________________          Website _____________________________________________

Do you want your free listing to include a link to the above website?    Yes       No

What is the policy regarding the use of tobacco smoke?
Check one or more boxes and provide any additional information necessary to describe the policy.
    Smoke-free property: No smoking is permitted anywhere on property (including inside all units).
    Smoke-free building: No smoking is permitted anywhere within one or more buildings on
     property, but may be permitted elsewhere on property
    Smoke-free unit: No smoking is permitted within a specific unit, but smoking may be permitted
     elsewhere within the building or property.
    Smoke-free area: No smoking is permitted within designated areas (examples: playground, pool,
     laundry room, recreation room, common areas)
Other smoke-free information (if any) __________________________________________________

PROPERTY OWNER OR MANAGER (Person to contact regarding this listing)

Name _____________________________________________  Property owner                     Property Manager

Property management company (if applicable) _______________________________________________

Address _________________________________________________________                   Unit __________

City _______________________________________            State ________     Zip code ______________

Phone number (______)_______________          Email ___________________________________________
                    Return to: RHA, 201 Lathrop Way, Suite C, Sacramento, CA 95815
                               Fax (916) 929-0655 Phone (916) 920-1120
                                                                                              Revised 4/16/09