Protected Early Lease-Termination Notice - Oregon

PROTECTED EARLY LEASE-TERMINATION NOTICE

State: Oregon

Safety first. Do not use an account, device, mailing address, or delivery method the adverse person can monitor. Call emergency services if there is immediate danger. This notice requests only information needed for the statutory route; do not add a detailed history of abuse.

1. Tenant, Landlord, and Lease

2. Notice of Protected Termination

I notify the Landlord that I request release under ORS 90.453. I or a minor member of my household experienced the qualifying conduct selected below. I request release for myself and for the immediate family members named above, none of whom perpetrated the qualifying conduct. The requested release date is [__/__/____].

Qualifying conduct: ☐ Domestic violence ☐ Sexual assault ☐ Bias crime ☐ Stalking

I am not providing a perpetrator's name or incident narrative in this notice. Any state-required identifying or incident information appears only in the permitted supporting document and is redacted or limited as Section 10 directs.

3. Date and Deadline Calculator

Do not use the requested date until Section 10 has been applied to the actual delivery method, rent interval, and documentation date.

4. Supporting Document

Attach one of the verification documents allowed by ORS 90.453(1)(c):

☐ Valid protection order restraining a person from contact with the tenant
☐ Federal, state, local, or tribal police report about the qualifying conduct
☐ Copy of a conviction for the qualifying conduct against the tenant
☐ Qualified-third-party verification statement completed below

Document date: [__/__/____]

Redactions completed: ☐ Yes ☐ Not permitted/needed

No medical record, diagnosis, therapy notes, full police file, or extra incident narrative is included unless the state-specific rule expressly requires it and counsel confirms the scope.

5. Vacancy, Rent, Deposit, and Property

I will surrender possession as required by the state route. I request a written ledger showing:

• rent through the lawful termination or release date;
• credits and prepaid rent;
• any security-deposit accounting;
• separately identified pre-termination balances; and
• no lease-break fee or future rent beyond what the state route permits.

Personal property left behind:

☐ None expected
☐ Instructions attached
☐ State-specific property instructions in Section 10 apply

6. Cotenants, Occupants, and Guarantors

Other tenants / occupants: [________________________________]

Guarantor, if any: [________________________________]

This notice does not guess whether another tenant, occupant, or guarantor is released. Apply the exact state rule and obtain a written account of who remains liable. Do not send this notice to an adverse cotenant unless the state rule or a court requires it and a safety plan is in place.

7. Safe Communications and Forwarding Address

Safe contact method:

☐ Email: [________________________________]
☐ Phone / text: [________________________________]
☐ Advocate or attorney: [________________________________]
☐ Mail to safe address: [________________________________]

Forwarding-address choice:

☐ Use the safe address above only for deposit/accounting mail.
☐ I will provide a forwarding address later.
☐ Send statutory financial notices through my attorney/advocate.
☐ Handle my relocation address under the confidentiality limits in ORS 90.453(6).

8. Confidential Handling Request

Mark this notice and every attachment CONFIDENTIAL — RESTRICTED ACCESS. Limit access to personnel who must process the request. Do not place protected information in ordinary maintenance notes, tenant-screening comments, shared databases, or reference responses. ORS 90.453(6) permits disclosure only with the tenant's written consent, for use in an eviction proceeding, to a qualified third party, or when law requires it.

Return or securely destroy excess copies after any applicable retention period. These handling requests do not narrow the statutory exceptions.

9. Delivery Record

Method used:

☐ Hand delivery
☐ First-class mail
☐ First-class mail with optional tracking
☐ First-class mail and email under a qualifying written notice addendum
☐ First-class mail and attachment under a qualifying rental-agreement term
☐ Other method used in addition to a permitted method above: [________________________________]

Delivered to: [________________________________]

Delivery address / account: [________________________________]

Tracking, witness, receipt, or screenshot retained: ☐ Yes

10. Oregon Route — ORS § 90.453

This route addresses domestic violence, sexual assault, bias crime, or stalking. The statutory third-party verification form permits a tenant to identify victimization of the tenant or a minor member of the household. At the tenant's request, immediate family members who are not perpetrators may also be released if named in the notice.

Give at least 14 days' written notice, specify the release date and every immediate family member to be released, and attach one of the verification documents listed in Section 4. Count consecutive calendar days after delivery. If using first-class mail alone, add three days to the minimum notice period. Email for a termination notice requires both a qualifying written addendum and first-class mail.

If relying on an incident rather than a current protection order, the qualifying conduct must have occurred within 90 days before notice, excluding time when the perpetrator was incarcerated or lived more than 100 miles from the victim's home.

The released tenant is not liable for rent or dwelling damage incurred after the release date and may not be charged a fee solely for terminating the agreement. Other tenants remain bound by the rental agreement. The landlord may disclose information supplied under this route only as ORS 90.453(6) permits.

11. Tenant Signature

I certify that the statements I made in this notice are true to the best of my knowledge. I understand that the attached documentation and state-specific route control the effective date and financial result.

Veterans assistance for the recipient: If you are a veteran of the armed forces, assistance may be available from a county veterans' service officer or community action agency. Contact information for a local officer and agency may be obtained by calling 2-1-1.

Tenant signature: ________________________________

Printed name: [________________________________]

Date: [__/__/____]

OPTIONAL OREGON VICTIM-VERIFICATION STATEMENT

Tenant statement

Tenant name: [________________________________]

I or a minor member of my household has been a victim of ☐ domestic violence ☐ sexual assault ☐ bias crime ☐ stalking.

Most recent incident date(s): [________________________________]

☐ The most recent incident was less than 90 days before this notice.
☐ The most recent incident was less than 90 days before this notice after excluding the periods below.

Perpetrator incarcerated from [__/__/____] to [__/__/____]; living more than 100 miles from my home from [__/__/____] to [__/__/____]. Attach additional dates if needed.

I declare that this statement is true to the best of my knowledge and belief. I understand that it may be used as evidence in court and is subject to penalty for perjury.

Tenant signature: ________________________________ Date: [__/__/____]

Qualified third-party statement

I am acting in my official capacity as:

☐ Law-enforcement officer ☐ Attorney ☐ Licensed health professional
☐ Oregon DOJ victim/survivor-services employee ☐ Victim advocate at a victim-services provider

Name, business address, and phone: [________________________________]

I have had individual contact with the tenant. The tenant told me that the tenant or a minor member of the household experienced the qualifying conduct on the dates listed above. I reasonably believe the tenant's statement and understand that this document may support release from a rental agreement under ORS 90.453.

I declare that this statement is true to the best of my knowledge and belief. I understand that it may be used as evidence in court and is subject to penalty for perjury.

Qualified-third-party signature: ________________________________ Date: [__/__/____]

SOURCES AND REFERENCES

• Oregon Legislature — ORS § 90.453
• Oregon Legislature — ORS 408.515
• Public.Law current-text mirror — ORS § 90.453