County of Marin


Rental Housing Dispute Resolution

 

Tenant Information

 

Rental Physical Address

Tenant's Contact Information

Mailing Address 

Tenant Representative's Contact Information

If a tenant is unable to participate in mediation, they may designate a representative to negotiate on their behalf.

If a tenant is unable to participate in mediation, they may designate a representative to negotiate on their behalf.

Landlord Information

Landlord's Contact Information

Mailing Address 

Landlord's Representative's Contact Information

If a landlord is unable to participate in mediation, they may designate a representative to negotiate on their behalf.

If a tenant is unable to participate in mediation, they may designate a representative to negotiate on their behalf.

 

General Rental History

 

If "yes", please provide the dates and outcomes of all such past mediations:

Date of Mediation (month/day/year)

Outcome of Mediation

Please attach all supporting documents (receipts, contracts, correspondence). File types of .pdf, .jpg and .png are accepted. If your attachment is larger than 5MB, you'll have the opportunity to forward it at a later time when you are contacted by District Attorney staff.