Residential Lease Addenda - Mold Disclosure - Hawaii
MOLD DISCLOSURE & PREVENTION ADDENDUM
to Residential Lease Agreement
State of Hawai‘i
TABLE OF CONTENTS
- Document Header
- Property and Condition Record
- Notice and Contact Procedure
- Inspection, Access, and Response Plan
- Prevention Practices
- Completion Record
- Lease and Legal Review Gates
- Execution Block
1. DOCUMENT HEADER
1.1 Parties.
This Mold Disclosure & Prevention Addendum (the “Addendum”) is entered into as of [EFFECTIVE DATE] (the “Effective Date”) by and between:
a. Landlord: [LANDLORD LEGAL NAME], a [ENTITY TYPE] with its principal office at [LANDLORD ADDRESS] (“Landlord”); and
b. Tenant: [TENANT LEGAL NAME], currently residing at [PROPERTY ADDRESS] (“Tenant”).
1.2 Recitals.
A. Landlord and Tenant are parties to that certain Residential Lease Agreement dated [LEASE DATE] (the “Lease”) for the residential property commonly known as [PROPERTY ADDRESS] (the “Premises”).
B. The parties want a written record of known moisture or mold conditions, notice contacts, access arrangements, response steps, and completed work.
1.3 Consideration.
The mutual covenants contained herein, together with the consideration specified in the Lease, constitute adequate and sufficient consideration for this Addendum.
1.4 Incorporation & Hierarchy.
This Addendum is hereby incorporated into the Lease. In the event of a direct conflict between this Addendum and the Lease, this Addendum shall control solely with respect to mold-related matters.
2. PROPERTY AND CONDITION RECORD
2.1 Property Details
- Premises: [PROPERTY ADDRESS]
- Unit: [UNIT]
- Lease date: [DATE]
- Addendum effective date: [DATE]
- Landlord or manager contact: [NAME / ADDRESS / PHONE / EMAIL]
- Tenant contact: [NAME / PHONE / EMAIL]
2.2 Known Conditions at Signing
For each item, attach photographs, reports, work orders, invoices, or prior notices when available.
| Area | Visible growth or staining | Leak, condensation, or dampness | Musty odor | Date observed | Notes / attachment |
|---|---|---|---|---|---|
| [AREA] | ☐ Yes ☐ No ☐ Unknown | ☐ Yes ☐ No ☐ Unknown | ☐ Yes ☐ No ☐ Unknown | [DATE] | [DETAILS] |
| [AREA] | ☐ Yes ☐ No ☐ Unknown | ☐ Yes ☐ No ☐ Unknown | ☐ Yes ☐ No ☐ Unknown | [DATE] | [DETAILS] |
| [AREA] | ☐ Yes ☐ No ☐ Unknown | ☐ Yes ☐ No ☐ Unknown | ☐ Yes ☐ No ☐ Unknown | [DATE] | [DETAILS] |
2.3 Prior Events and Work
| Event or condition | Date reported | Inspection or work performed | Provider | Completion date | Remaining issue |
|---|---|---|---|---|---|
| [DETAILS] | [DATE] | [DETAILS] | [NAME] | [DATE] | [DETAILS] |
3. NOTICE AND CONTACT PROCEDURE
3.1 Notice Contents
A moisture or suspected mold notice should identify:
- the affected room or building area;
- when the condition was first observed;
- whether water is actively entering or accumulating;
- visible staining, growth, odor, or damaged material;
- photographs or other available records;
- any urgent access, safety, or health concern stated by the reporting person; and
- a reliable contact method for scheduling access.
3.2 Delivery Record
This form does not select a legally sufficient notice method. Use a method permitted by the Lease and current law, and preserve proof of delivery.
| Notice | Sender | Recipient / address | Delivery method | Sent | Received or confirmed |
|---|---|---|---|---|---|
| [DESCRIPTION] | [NAME] | [NAME / ADDRESS] | [METHOD] | [DATE / TIME] | [DATE / TIME / PROOF] |
3.3 Emergency Contact
For active flooding, plumbing discharge, or another condition requiring immediate attention, contact: [NAME / 24-HOUR NUMBER / ALTERNATE CONTACT].
4. INSPECTION, ACCESS, AND RESPONSE PLAN
4.1 Initial Response
The parties may set a nonstatutory scheduling target below. Leaving the field blank creates no fixed contractual deadline in this form.
- Target for acknowledging notice: [DATE / TIME / NONE]
- Target for initial inspection or assessment: [DATE / TIME / NONE]
- Person coordinating access: [NAME / CONTACT]
- Proposed entry window: [DATE / TIME RANGE]
- Tenant access constraints: [DETAILS]
4.2 Assessment Record
| Assessor or contractor | Role / qualifications stated by provider | Areas reviewed | Samples or instruments used | Findings date | Report attached |
|---|---|---|---|---|---|
| [NAME] | [DETAILS] | [AREAS] | [DETAILS / NONE] | [DATE] | ☐ Yes ☐ No |
This addendum does not certify a provider, prescribe a technical standard, or decide whether sampling is necessary.
4.3 Response Plan
| Task | Responsible person | Start target | Completion target | Access needed | Occupancy effect | Status |
|---|---|---|---|---|---|---|
| [TASK] | [NAME] | [DATE / NONE] | [DATE / NONE] | [DETAILS] | [NONE / DETAILS] | ☐ Open ☐ Complete |
Any agreement about relocation, lodging, rent, personal property, reimbursement, lease termination, or other remedies must be written separately after review of the facts, Lease, insurance, and current law.
5. PREVENTION PRACTICES
The following are practical reporting and housekeeping choices, not findings that one party caused a condition or waived a legal right:
Landlord or Manager
☐ Provide a working contact route for leaks and moisture reports.
☐ Track reported roof, plumbing, exterior, drainage, appliance, ventilation, and HVAC issues.
☐ Document inspections, work authorization, access attempts, and completion.
Tenant
☐ Report leaks, flooding, persistent condensation, visible growth or staining, and musty odor without avoidable delay.
☐ Use installed ventilation and avoid blocking supply or return vents.
☐ Allow agreed or legally authorized access and identify access constraints promptly.
☐ Avoid painting over or concealing a reported condition before it is documented.
Shared Record
☐ Preserve photographs, notices, reports, invoices, work orders, and completion communications.
6. COMPLETION RECORD
6.1 Work Completed
| Task | Provider | Completion date | Verification or follow-up | Attachment |
|---|---|---|---|---|
| [TASK] | [NAME] | [DATE] | [DETAILS] | [FILE / NONE] |
6.2 Remaining or Recurring Condition
☐ No condition remains known to the signing parties based on the records identified here.
☐ The following condition remains, recurred, or requires monitoring: [DETAILS]
6.3 Personal Property
This form makes no causation, value, insurance-coverage, reimbursement, or disposal decision concerning personal property. Record affected items and preserve evidence separately.
7. LEASE AND LEGAL REVIEW GATES
- This addendum supplements the Lease only as to the factual records and agreed logistics written here.
- It does not waive, expand, limit, or decide any duty, remedy, defense, notice rule, access rule, rent issue, fee claim, insurance question, causation issue, or court jurisdiction.
- If this addendum conflicts with a nonwaivable rule of current law, that rule controls. Counsel must review any proposed deadline, reimbursement, relocation, termination, release, indemnity, damages limit, attorney-fee term, arbitration term, jury term, or forum term before it is added.
- Blank fields create no agreement. A target date is a scheduling goal unless the parties expressly state otherwise in a reviewed writing.
- The parties should not sign a statement about absence, correction, completion, or causation unless the identified records support it.
Attachments
☐ Initial condition photographs
☐ Prior notices or work orders
☐ Inspection or assessment report
☐ Response plan
☐ Invoices and completion records
☐ Follow-up photographs or report
☐ Other: [DESCRIPTION]
8. EXECUTION BLOCK
IN WITNESS WHEREOF, the parties have executed this Addendum as of the Effective Date.
| LANDLORD | TENANT |
|---|---|
| ___________________________ | ___________________________ |
| Signature | Signature |
| [PRINT NAME & TITLE] | [PRINT NAME] |
| Date: ______________________ | Date: ______________________ |
Additional tenant or occupant acknowledgment (optional):
| NAME | SIGNATURE | DATE |
|---|---|---|
| [NAME] | ___________________________ | [DATE] |
About this template
- Last updated
- August 24, 2026
- Last reviewed
- August 24, 2026
- Jurisdiction
- Hawaii
- Category
- Real Estate
Real estate documents transfer ownership, define who can use a property, and record agreements between buyers, sellers, landlords, and tenants. Deeds, purchase agreements, leases, and easements have to be drafted to meet state recording requirements, and mistakes show up at closing or years later in title disputes. Good real estate paperwork moves transactions forward quickly and avoids the kind of problems that only surface when it is time to sell or refinance.
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 August 24, 2026.
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