Protected Early Lease-Termination Notice - Washington

Washington Landlord & Tenant Updated July 23, 2026 Free Word and PDF

PROTECTED EARLY LEASE-TERMINATION NOTICE

State: Washington

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

Item Information
Tenant giving notice [________________________________]
Other protected person, only if needed to establish coverage [________________________________]
Landlord / authorized recipient [________________________________]
Rental premises [________________________________]
Lease / rental agreement date [__/__/____]
Current rent period [________________________________]
Notice date [__/__/____]

2. Notice of Protected Termination

I notify the Landlord that I am using the protected early-termination route described in Section 10. I or a person covered through me meets the state-specific eligibility rule, and I reasonably request release from future obligations as provided by that rule.

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

Event Date / calculation
Notice delivered [__/__/____]
Statutory minimum notice or effective-date rule [________________________________]
Requested termination / release date [__/__/____]
Planned or actual vacancy date [__/__/____]
Keys / access devices returned [__/__/____]
Separate follow-up notice due, if any [__/__/____]
Documentation lookback or filing deadline [________________________________]

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 only a document allowed by Section 10:

☐ Protection / no-contact order
☐ Law-enforcement or court record
☐ Qualified-third-party document
☐ Health-care or victim-services document expressly allowed by state law
☐ Other state-enumerated document: [________________________________]

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.
☐ Do not disclose my relocation address to any cotenant, occupant, adverse party, reference caller, or third party except with my written consent or as law requires.

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.

Return or securely destroy excess copies after the retention period required by law or counsel. These instructions supplement, and do not narrow, any mandatory state confidentiality rule.

9. Delivery Record

Method used:

☐ Hand delivery
☐ First-class mail
☐ Certified or tracked mail
☐ State-authorized electronic method
☐ Court-directed or other method: [________________________________]

Delivered to: [________________________________]

Delivery address / account: [________________________________]

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

10. Washington Route — RCW § 59.18.575

This route covers a tenant or household member who was a victim of a crime of domestic violence, sexual assault, unlawful harassment, or stalking.

Provide either a qualifying protection/antiharassment order or a written record of a report signed by a qualified third party. The termination request must occur within 90 days of the reported act, event, or circumstance giving rise to the order or report.

The qualified-third-party record must state that the victim reported the qualifying conduct, the time/date and location, a brief description, and that the victim informed the third party of the alleged perpetrator's name. The landlord copy must not include that name. The qualified third party retains it separately.

The tenant is discharged from rent after the last day of the month in which the tenant quits, subject to the specific statute. Other tenants, except household members who are victims, are not automatically released. If the landlord is the alleged perpetrator, review the special seven-day post-vacate documentation route before delivery.

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.

Tenant signature: ________________________________

Printed name: [________________________________]

Date: [__/__/____]

OPTIONAL WASHINGTON QUALIFIED-THIRD-PARTY RECORD

This record contains the minimum incident detail required by RCW § 59.18.575. Do not add narrative detail. Do not include the alleged perpetrator's name in the landlord copy.

Qualified third party and official capacity: [________________________________]

Tenant or household member reporting: [________________________________]

Qualifying conduct reported:

☐ Domestic violence ☐ Sexual assault ☐ Unlawful harassment ☐ Stalking

Time and date of act(s): [________________________________]

Location of act(s): [________________________________]

Brief description limited to what the statute requires: [________________________________]

☐ The reporting person informed me of the alleged perpetrator's name. That name is omitted from this landlord copy and retained only as required by law.

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

Business contact information: [________________________________]

SOURCES AND REFERENCES

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About this template

Last updated
July 23, 2026
Citations checked
July 23, 2026
Jurisdiction
Washington
Category
Landlord & Tenant

Legal authority

  • RCW §§ 59.18.570, 59.18.575 (victim-protection definitions and termination procedure)

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

A reviewer verified this template's legal citations against the official source on July 23, 2026.

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