Residential Lease Addenda - Mold Disclosure - Wisconsin

Wisconsin Real Estate Updated August 27, 2026 Free Word and PDF

MOLD DISCLOSURE AND RESPONSE RECORD ADDENDUM

to Residential Lease Agreement — Wisconsin

1. Document Header

Item Entry
Landlord or housing provider [________________________________]
Tenant or tenants [________________________________]
Premises [________________________________]
Unit [________________________________]
Lease date [__/__/____]
Addendum effective date [__/__/____]
Landlord or manager contact [________________________________]
Tenant contact [________________________________]

The parties use this addendum to create a factual record and coordinate logistics. If the parties want this addendum to change a Lease term or create an operative obligation, Wisconsin housing counsel must identify and approve that language separately.

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 or 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]

Source of each statement: [personal observation / tenant report / work order / report / other: ______]

This section records what the signing parties know from the identified sources. It is not a certification that the Premises is mold-free, habitable, safe, remediated, or free of hidden conditions.

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]

4. Notice and Contact Procedure

4.1 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.

4.2 Delivery Record

This addendum does not select a legally sufficient notice method or deadline. Use a method permitted by the Lease and current law and preserve delivery proof.

Notice Sender Recipient and address Delivery method Sent Received or confirmed
[DESCRIPTION] [NAME] [NAME / ADDRESS] [METHOD] [DATE / TIME] [DATE / TIME / PROOF]

4.3 Urgent Contact

For active flooding, plumbing discharge, or another condition requiring immediate attention, contact: [NAME / NUMBER / ALTERNATE CONTACT].

This contact instruction does not replace emergency services or a legally required notice.

5. Inspection, Access, and Response Plan

5.1 Scheduling Targets

The parties may enter nonstatutory scheduling goals below. Blank fields create no deadline, and a target is not represented as a legal cure period.

  • 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]
  • Current authority or Lease term governing access: [________________________________]

5.2 Assessment Record

Assessor or contractor Role or 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, removal, cleaning, containment, demolition, or another response is appropriate.

5.3 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, repair cost, lease termination, or another remedy must be written separately after review of the facts, Lease, insurance, and current law.

6. Practical Prevention and Record 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.

No fixed humidity, fan-use, filter-replacement, notice, entry, cure, or completion period is imposed by these practical prompts.

7. Completion Record

Task Provider Completion date Verification or follow-up Attachment
[TASK] [NAME] [DATE] [DETAILS] [FILE / NONE]

Remaining or Recurring Condition

☐ No condition remains known to the signing parties based only on the records identified here.

☐ The following condition remains, recurred, or requires monitoring: [DETAILS]

Personal Property

This addendum makes no causation, value, insurance-coverage, reimbursement, disposal, or damages decision concerning personal property. Record affected items and preserve evidence separately.

8. Lease and Legal Review Gates

  1. This addendum supplements the Lease only as to factual records and agreed logistics written here.
  2. It does not waive, expand, limit, or decide a duty, remedy, defense, notice rule, access rule, rent issue, fee claim, insurance question, causation issue, technical standard, or court jurisdiction.
  3. Counsel must review any proposed deadline, repair obligation, reimbursement, relocation, termination, release, indemnity, damages limit, attorney-fee term, arbitration term, jury term, forum term, force-majeure term, or electronic-signature process before it is added.
  4. Blank fields create no agreement. A target date is a scheduling goal unless the parties expressly state otherwise in a reviewed writing.
  5. Do not sign a statement about absence, correction, completion, responsibility, 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]

9. Execution Block

LANDLORD OR PROVIDER TENANT
___________________________ ___________________________
Signature Signature
[PRINT NAME AND TITLE] [PRINT NAME]
Date: ______________________ Date: ______________________

Additional tenant or occupant acknowledgment:

Name Signature Date
[NAME] ___________________________ [DATE]

Signing acknowledges the factual record and logistics written here only. It does not create an unreviewed legal conclusion or remedy.

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About this template

Last updated
August 27, 2026
Last reviewed
August 27, 2026
Jurisdiction
Wisconsin
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 27, 2026.

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