Military Lease Termination Request Form
Service Member’s Relief Act (SCRA)
Service Member Name
Rank
Branch of Service
DoD ID Number
Unit/Command
Current Address of Rental Property
Landlord/Property Manager Name
Landlord/Property Manager Address
Lease Start Date
Requested Termination Date
Reason for Termination (Select one)
Permanent Change of Station (PCS) Orders
Deployment (90 days or more)
Other (explain below)
Description or Explanation
Forwarding Address
Phone Number
Email Address
Service Member Signature
Date