California Apartment Association

Fifteen-Day Notice to Perform Covenants or Quit (Monetary Breach) and Blank Declaration of COVID-19-Related Financial Distress (Other Payments Due September 1, 2020 – June 30, 2021)

This form can be used to comply with the COVID-19 Tenant Relief Act of 2020’s requirement to provide residents who owe unpaid charges other than rent that came due between September 1, 2020 – June 30, 2021 with a 15-day notice, provided that the CARES Act eviction moratorium does not apply. Do NOT use this form for unpaid rent. Instead use Form CA-410.

Additional information about the COVID-19 Tenant Relief Act of 2020 is available at caanet.org/CTRA.

DO NOT use for Corporate Rentals. This law applies only to agreements with “natural persons” as the named tenant(s).

DO NOT USE THIS FORM WITHOUT FIRST READING THE INSTRUCTIONS