Idaho Residential Rental Application and Screening Packet

Idaho Residential Rental Application and Screening Packet

Use one packet per adult applicant. Deliver written criteria before collecting money or ordering a report.

Privacy rule: Do not place sensitive identifiers or financial-account numbers in this packet. Use a separately approved secure identity channel with access controls and a retention schedule.

Idaho Fair-Housing Screening Module

Idaho Code § 67-5909 applies housing protections based on race, color, religion, sex, national origin, and disability. Federal law separately protects familial status. Apply the same lawful criteria to every applicant and check local protections before use.

• Criteria reviewed for state, federal, and local protected classes: ☐ Yes
• Fee/purpose/refundability after current legal review: [________________________________]
• Local ordinance check completed: ☐ Yes

1. Property and Housing Provider

• Property address/unit: [________________________________]
• Monthly rent/proposed move-in/term: [________________________________]
• Housing provider/agent and notice address: [________________________________]
• Completed application received: [__/__/____] at [____] ☐ a.m. ☐ p.m.

2. Written Screening Criteria

3. Applicant Information

• Full legal name/name used for references: [________________________________]
• Email/telephone: [________________________________]
• Current address and time there: [________________________________]
• Requested move-in date: [__/__/____]
• Other proposed occupants: [________________________________]
• Animals: [________________________________]
• Confidential assistance-animal process requested: ☐ Yes ☐ No

Do not ask for diagnosis or disability details here.

4. Residence and Income History

5. Applicant Statements and Consumer-Report Authorization

• ☐ Information is complete and accurate to the best of the applicant's knowledge.
• ☐ Applicant received criteria and fee disclosure before payment.
• ☐ Applicant received the privacy/retention notice.
• ☐ Applicant understands this is not a lease or promise of approval.

I give written instructions authorizing [HOUSING PROVIDER/AGENT] and [CONSUMER REPORTING AGENCY] to obtain and use the checked reports solely for this rental application and lawful account review. 15 U.S.C. § 1681b(a)(2).

• Agency/address/telephone: [________________________________]
• Reports: ☐ Credit ☐ Rental history ☐ Eviction records ☐ Criminal records ☐ Other: [________]
• Authorization expires: [__/__/____]

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

6. Receipt and Decision Record

• Amount/character: $[________] ☐ No payment ☐ Application fee ☐ Refundable deposit
• Criteria applied exactly as disclosed: ☐ Yes
• Decision: ☐ Approved ☐ Conditional approval ☐ Denied ☐ Withdrawn
• Criterion and verified fact: [________________________________]
• Consumer report affected decision: ☐ Yes ☐ No
• Decision maker/date: [________________________________]

7. Adverse-Action Notice

Complete and deliver this notice when a consumer report contributed in whole or in part to an adverse screening decision. Keep a copy in the decision record.

To: [APPLICANT NAME AND DELIVERY ADDRESS]

Date: [__/__/____]

Property: [________________________________]

Action: ☐ Application denied ☐ Conditional approval on these terms: [________________________________] ☐ Other: [________________________________]

We took this action based in whole or in part on information in a consumer report furnished by:

The consumer reporting agency did not make this decision and cannot provide the specific reasons for it. You have the right to request a free copy of your report from the agency named above within 60 days and to dispute inaccurate or incomplete information with that agency. 15 U.S.C. § 1681m(a).

If a numerical credit score was used in taking this action, disclose the following score information:

The fifth factor line applies only when the number of inquiries is a key factor under 15 U.S.C. § 1681g(f)(9). Leave this score table blank if no numerical credit score was used in taking the action.

Housing provider/agent: [________________________________] Date sent: [__/__/____] Delivery method: [________________________________]

Sources and References

• 15 U.S.C. § 1681b — https://uscode.house.gov/view.xhtml?req=(title:15%20section:1681b%20edition:prelim)
• 15 U.S.C. § 1681m — https://uscode.house.gov/view.xhtml?req=(title:15%20section:1681m%20edition:prelim)
• 15 U.S.C. § 1681g — https://www.govinfo.gov/content/pkg/USCODE-2024-title15/html/USCODE-2024-title15-chap41-subchapIII-sec1681g.htm
• 42 U.S.C. § 3604 — https://uscode.house.gov/view.xhtml?req=(title:42%20section:3604%20edition:prelim)
• Idaho Code § 67-5909 — https://legislature.idaho.gov/statutesrules/idstat/title67/t67ch59/sect67-5909/