Military Housing Rental Verification Request Form
Service Member Information
Full Name
Rank
Branch of Service
Unit/Command
Contact Number
Email Address
Rental Property Information
Property Address
Landlord/Agent Name
Landlord/Agent Contact
Lease Details
Lease Start Date
Lease End Date
Monthly Rent
Number of Occupants
Authorization
I authorize verification of my rental residence and release of related information as required.
Signature
Date