Eviction Notice
For Health & Safety Violations
Date:
To (Tenant Name):
Rental Property Address:
Description of Health & Safety Violation(s):
Action Required / Date to Remedy (if applicable):
This notice serves as formal notification that, due to the above-stated health and safety violation(s), eviction proceedings may be initiated as provided by law. Please take immediate action to remedy these violations as described above.
Landlord/Property Manager Name:
Contact Information: