DISTRICT OF COLUMBIA SHORT-TERM RENTAL LICENSING PROGRAM
Please submit to the Department of Consumer and Regulatory Affairs using the District of Columbia Short-
Term Rental Licensure platform as part of your Short-Term Rental License application.
Short-Term/Vacation Rental Attestation Form
I, property owner and applicant for a Short-Term Rental (STR) and/or Vacation Rental
(VR) license(s) at the below location, hereinafter the “Owner,” do hereby attest the
following:
The bylaws, house rules, or other governing documents of the homeowner/condo/
cooperative governing board or association, hereinafter the “Association,” either:
☐
Expressly allow Short Term and/or Vacation Rentals at the below-listed property
that I own; OR
☐
Do not prohibit owners from operating Short Term and/or Vacation Rentals at the
below-listed property that I own; OR
☐ Allow Short Term and/or Vacation Rentals at the below-listed property that I own
pursuant to the following conditions, which I attest that I am in compliance with:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
OR:
☐ I attest that I have received written permission from the Association to operate a
STR/VR at the below listed property and will maintain that permission in my
records for as long as I hold a STR/VR license and for three years after expiration
of any rental licenses.
I understand that:
• While occupied by STR/VR tenant(s), said tenant(s) shall abide by the laws of the
District of Columbia and the bylaws of the Association.
• This Agreement does not change the apportionment of responsibility for code
violations between the Owner and Association under District of Columbia law.
• The actions of STR/VR tenant(s) may subject either or both parties to liability for
code violations, as provided for in District of Columbia law, the bylaws, house
rules, and governing documents of the Association.
• This Agreement shall hold the District of Columbia harmless from any injury,
damage, or negligence due to any actions of the Owner or STR/VR tenants.
DISTRICT OF COLUMBIA SHORT-TERM RENTAL LICENSING PROGRAM
Please submit to the Department of Consumer and Regulatory Affairs using the District of Columbia Short-
Term Rental Licensure platform as part of your Short-Term Rental License application.
• The Owner expressly acknowledges responsibility for Association fees, upkeep,
damage, and any disturbance to neighbors as a result of the actions of STR/VR
tenant(s).
• I may be requested, at any time, to provide supporting evidence/
documentation for the attestation checked above and failure to provide this
information within 5 business days may result in my license(s) being automatically
suspended/revoked.
• I certify under penalty of perjury under the law of the District of Columbia that
the foregoing is true and correct. I understand that false statements on this form
may subject me to civil fines and/or criminal penalties.
_________________________________________________________________________
Property Address (including, if applicable, unit number)
______________________________________________
Owner First and Last name (print legibly or type)
______________________________________________ ____________
Owner Signature Date
Contact Information for Association:
_________________________________________________________________________
Full Name of Association Contact
___________________________________________________
Title (e.g., Board President, Management Company)
_______________________________________ _______________________________________
Phone Number Email Address
