District of Columbia Public Housing One-Strike 30-Day Notice to Vacate
District of Columbia Public Housing One-Strike 30-Day Notice to Vacate
Before you use this: Use only for a public housing authority tenancy with a lease clause required by 24 C.F.R. § 966.4 that bars criminal activity threatening other residents' health, safety, or peaceful enjoyment. Confirm that the particular conduct and lease clause meet 14 DCMR § 4301.5, including why a correction opportunity would obstruct the federal one-strike policy. This form assumes the authority offers a grievance hearing for this termination; confirm its procedure and fill in the request deadline. Serve a completed Spanish counterpart with the English notice and any additional required language. Attach current Forms HUD-5380 and HUD-5382, and provide any required language assistance for those forms.
Notice date: [__/__/____]
To each tenant demanded to vacate: [FULL LEGAL NAMES]
Rental unit: [STREET ADDRESS, UNIT, WASHINGTON, DC ZIP]
From public housing authority: [LEGAL NAME AND NOTICE ADDRESS]
Basis for termination
The public housing authority gives notice that it is terminating your lease and demands that you vacate the rental unit because of the following alleged violation of a substantial lease obligation under D.C. Code § 42-3505.01(b), 14 DCMR § 4301.5, and 24 C.F.R. § 966.4.
Lease section and exact obligation: [SECTION; TEXT OR ATTACH THE LEASE EXCERPT]
Person whose conduct is at issue and relationship to tenancy: [NAME; TENANT / HOUSEHOLD MEMBER / GUEST / PERSON UNDER TENANT'S CONTROL]
Specific acts, dates, locations, and supporting facts: [DETAILED FACTS, INCLUDING CONDUCT WITHIN SIX MONTHS BEFORE SERVICE]
How the conduct threatened other residents' health, safety, or peaceful enjoyment: [SPECIFIC FACTS]
Why an opportunity to correct would obstruct the applicable federal one-strike policy in this case: [SPECIFIC FACTS]
These are allegations. You may reply and contest them in the grievance process and in any court case. This notice does not itself authorize your removal.
Thirty-day notice to vacate
Vacate and deliver possession by [DATE, AT LEAST 30 DAYS AFTER SERVICE]. If you have not vacated 30 days after this notice is served, the housing authority may file a court action seeking eviction. A timely requested grievance hearing may delay lease termination as stated below.
You may reply to the housing authority at [RESPONSE ADDRESS AND METHOD]. You may ask to examine and copy, at your expense, housing authority documents directly relevant to the proposed termination or eviction before a grievance hearing or court trial. Direct that request to [OFFICE; CONTACT; ADDRESS].
PHA grievance hearing: You may request a hearing under the housing authority's grievance procedure by [DATE AND TIME], using [HOW AND WHERE TO REQUEST]. If you request a hearing on time, the tenancy will not terminate until the grievance process is complete. The housing authority's grievance procedure is available at [WHERE TO OBTAIN IT].
You may not have to vacate if the alleged conduct relates to an intrafamily offense committed or threatened against you or your minor child, including violence by a partner, relative, roommate, or another person with a close relationship to the victim. The D.C. Office of Human Rights may be able to assist you at (202) 727-4559.
VAWA materials enclosed: Form HUD-5380 explains federal housing protections for victims of domestic violence, dating violence, sexual assault, or stalking. Form HUD-5382 is the certification form. Review both forms even if you do not intend to claim a protection now.
A copy of this notice will be filed with the Rent Administrator. The Rental Accommodations Division is at 1909 Martin Luther King Jr. Avenue SE, Washington, DC 20020, telephone (202) 442-9505.
Aviso en español — entregar con la versión en inglés
Fecha del aviso: [__/__/____]
A cada inquilino a quien se exige desocupar: [NOMBRES COMPLETOS]
Vivienda: [DIRECCIÓN, UNIDAD, WASHINGTON, DC, CÓDIGO POSTAL]
Autoridad de vivienda pública: [NOMBRE LEGAL Y DIRECCIÓN]
La autoridad de vivienda pública le notifica que termina su contrato de arrendamiento y le exige desocupar la vivienda por la siguiente presunta infracción de una obligación importante del contrato, conforme al Código del D.C. § 42-3505.01(b), 14 DCMR § 4301.5 y 24 C.F.R. § 966.4.
Sección del contrato y obligación exacta: [SECCIÓN; TEXTO O ANEXO]
Persona involucrada y relación con el arrendamiento: [NOMBRE Y RELACIÓN]
Actos, fechas, lugares y hechos específicos: [HECHOS DETALLADOS, INCLUIDOS LOS OCURRIDOS EN LOS SEIS MESES ANTERIORES A LA ENTREGA]
Cómo la conducta amenazó la salud, la seguridad o el disfrute pacífico de otros residentes: [HECHOS]
Por qué una oportunidad de corregir la infracción obstaculizaría la política federal aplicable de una infracción en este caso: [HECHOS]
Estas son alegaciones. Puede responder e impugnarlas en el procedimiento de quejas y en cualquier proceso judicial. Este aviso por sí solo no autoriza su desalojo.
Desocupe y entregue la vivienda a más tardar el [FECHA, AL MENOS 30 DÍAS DESPUÉS DE LA ENTREGA DEL AVISO]. Si no ha desocupado 30 días después de la entrega de este aviso, la autoridad de vivienda puede presentar una demanda de desalojo ante el tribunal. Una audiencia de queja solicitada a tiempo puede aplazar la terminación del arrendamiento como se indica a continuación.
Puede responder a la autoridad de vivienda en [DIRECCIÓN Y MÉTODO]. Puede solicitar examinar y copiar, a su costo, los documentos de la autoridad de vivienda directamente relacionados con la terminación o el desalojo propuestos, antes de una audiencia de queja o juicio. Dirija la solicitud a [OFICINA; CONTACTO; DIRECCIÓN].
Audiencia de queja: Puede solicitar una audiencia conforme al procedimiento de la autoridad de vivienda a más tardar el [FECHA Y HORA], mediante [MÉTODO Y LUGAR]. Si solicita la audiencia a tiempo, el arrendamiento no terminará hasta que concluya el procedimiento de quejas. Puede obtener el procedimiento en [LUGAR].
Quizá no tenga que desocupar si la conducta alegada se relaciona con una infracción intrafamiliar cometida o amenazada contra usted o su hijo menor de edad, incluida la violencia de una pareja, familiar, compañero de vivienda u otra persona con una relación cercana con la víctima. La Oficina de Derechos Humanos del D.C. puede ayudarle: (202) 727-4559.
Materiales de VAWA adjuntos: El formulario HUD-5380 explica las protecciones federales de vivienda para víctimas de violencia doméstica, violencia en el noviazgo, agresión sexual o acecho. El formulario HUD-5382 es el formulario de certificación. Revise ambos formularios aunque no solicite una protección ahora.
Se presentará una copia de este aviso al Administrador de Alquileres. La División de Viviendas de Alquiler está en 1909 Martin Luther King Jr. Avenue SE, Washington, DC 20020, teléfono (202) 442-9505.
Firma del proveedor o representante / Provider or agent signature: ______________________________
Nombre, cargo y fecha / Name, capacity, and date: [NOMBRE; CARGO; FECHA]
Service and filing record
Tenant served: [NAME; REPEAT FOR EACH TENANT DEMANDED TO VACATE]
Date, time, place, and person serving: [DETAILS]
Method: ☐ Personal delivery; ☐ left with a resident over 16 because the tenant left the District or could not be found; ☐ after diligent unsuccessful efforts, posted with timestamped photograph and sent by prepaid first-class mail to the unit within three calendar days.
If substitute service or posting, supporting facts and dates: [DETAILS]
Language versions served together: ☐ English; ☐ Spanish; ☐ additional required primary language: [LANGUAGE / NOT APPLICABLE].
VAWA forms served with this notice: ☐ HUD-5380 (Notice of Occupancy Rights); ☐ HUD-5382 (Certification); ☐ translated or interpreted VAWA materials supplied as needed: [LANGUAGE / METHOD / NOT APPLICABLE].
Rent Administrator filing: File a copy of this notice and certification of tenant service no later than five business days after tenant service. Date, method, and receipt: [DETAILS].
If posted, retain timestamped photograph for court: [FILE REFERENCE / NOT APPLICABLE].
Sources and References
- D.C. Code § 42-3505.01 — eviction and notice rules
- 14 DCMR § 4301 and § 4300 — no-cure exception, language, service, and filing
- 24 C.F.R. §§ 966.4 and 966.51, official eCFR XML — public housing lease, notice, records, and grievance provisions
- 24 C.F.R. § 5.2005(a) — VAWA materials with eviction notification; Form HUD-5380 and Form HUD-5382
- DHCD divisions and D.C. Office of Human Rights — current agency contacts
About this template
- Last updated
- November 12, 2026
- Jurisdiction
- District of Columbia
- Category
- Landlord & Tenant
Legal authority
- D.C. Code § 42-3505.01
- 14 DCMR § 4301
- 14 DCMR § 4300
- 24 C.F.R. § 966.4
- 24 C.F.R. § 966.51
- 24 C.F.R. § 5.2005(a) (VAWA notice and certification with eviction notification)
Landlord-tenant paperwork governs who can stay in a property, on what terms, and what happens when something goes wrong. Leases, notices to quit, security deposit demands, and habitability complaints all have state and often city-specific requirements for timing, content, and service. Getting the paperwork right is what makes an eviction actually succeed or a security deposit actually come back, because judges regularly dismiss cases over small procedural mistakes.
Not legal advice
This template is provided for informational purposes. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Checked against the law it cites
The statutes this template relies on are listed under Legal authority.
24 C.F.R. § 5.2005(a)(1)-(2) (checked November 12, 2026): "A covered housing provider must provide to each of its applicants and to each of its tenants the notice of occupancy rights and the certification form as described in this section: ... With any notification of eviction or notification of termination of assistance"
Form HUD-5380 (OMB expiration 1/31/2028) (checked November 12, 2026): "A covered housing provider must provide a copy of the Notice of Occupancy Rights Under The Violence Against Women Act (Form HUD-5380) and the Certification of Domestic Violence, Dating Violence, Sexual Assault, or Stalking (Form HUD-5382)"
Form HUD-5382 (OMB expiration 1/31/2028) (checked November 12, 2026): "This form is accompanied by a Notice of Occupancy Rights Under the Violence Against Women Act, Form HUD-5380."
14 DCMR § 4301.5 (checked November 10, 2026): "Section 4301.4(b) shall not apply if the tenant has violated a lease provision that is required by federal law for federally subsidized rental units"
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