California/National Apartment Association Official Form B-15, Rental Application for Residents and Occupants (May 2015) with Application Agreement Instructions
This form contains 124 fields organized into 22 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Animal Information | ||
| Animal Age | Text |
Provide the age of the animal.
|
| Check Box11 | CheckBox | |
| Check Box9 | CheckBox | |
| Applicant Current Address | ||
| Applicant Current Address Line 1 | Text |
Enter the first line of your current home address, including street number and street name.
|
| Applicant Current Address Line 2 | Text |
Enter the second line of your current home address, such as apartment, unit, or suite number.
|
| Applicant Current Address City/State/Zip | Text |
Enter the city, state, and zip code of your current home address.
|
| Applicant Current Phone Area Code | Text |
Enter the area code for your current phone number.
|
| Applicant Current Phone Number | Text |
Enter the main part of your current phone number.
|
| Applicant Current Monthly Rent | Number |
Enter your current monthly rent amount.
|
| Applicant Current Dwelling Name | Text |
Enter the name of the dwelling where you currently live, if applicable.
|
| Applicant Current Owner/Manager Name | Text |
Enter the name of your current dwelling's owner or manager.
|
| Applicant Current Owner/Manager Phone | Text |
Enter the phone number of your current dwelling's owner or manager.
|
| Applicant Move-in Date | Date |
Enter the date you moved into your current residence.
|
| Applicant Reason for Leaving Current Residence | Text |
Explain why you are leaving your current residence.
|
| Applicant Reason for Leaving Current Residence (Continued) | Text |
Provide additional details explaining why you are leaving your current residence.
|
| Applicant Information | ||
| Previous Names Years Count | Text |
Enter the number of years for which you are listing previous names or aliases.
|
| exactly as on driver's license or govt. ID card | Text | |
| Applicant Street Address Line 2 | Text |
Enter the second line of your street address, such as apartment, unit, or suite number, as shown on your driver's license or government-issued ID card.
|
| Applicant Street Address Line 1 | Text |
Enter the first line of your street address as shown on your driver's license or government-issued ID card.
|
| Driver's License Number and State | Text |
Enter your driver's license number followed by the issuing state.
|
| Government Photo ID Card Number | Text |
Enter your government-issued photo ID card number if you do not have a driver's license.
|
| Previous Names and Aliases | Text |
List any previous names or aliases you have used within the specified number of years.
|
| Applicant Social Security Number | Text |
Enter your full Social Security Number.
|
| Applicant Birthdate | Date |
Enter your birthdate.
|
| Applicant Email Address | Text |
Enter your current email address.
|
| Applicant Previous Address | ||
| Previous Street Address | Text |
Please provide the street address of your previous home.
|
| Previous Street Address Line 2 | Text |
Please provide any additional street address details for your previous home, such as apartment or unit number.
|
| Previous City, State, Zip | Text |
Please provide the city, state, and zip code of your previous home.
|
| Previous Dwelling Name | Text |
Please provide the name of the dwelling where you previously resided.
|
| Previous Owner or Manager Name | Text |
Please provide the full name of the owner or manager of your previous dwelling.
|
| Previous Owner or Manager Phone | Text |
Please provide the phone number of the owner or manager of your previous dwelling.
|
| Previous Monthly Rent | Number |
Please provide the monthly rent amount you paid at your previous dwelling.
|
| Previous Move-in Date | Date |
Please provide the date you moved into your previous dwelling.
|
| Previous Move-out Date | Date |
Please provide the date you moved out of your previous dwelling.
|
| Credit History | ||
| Check Box19 | CheckBox | |
| Check Box20 | CheckBox | |
| Bank 1 Name, City, State | Text |
Enter the name of your bank, its city, and its state for the first bank account.
|
| Bank 2 Name, City, State | Text |
Enter the name of your bank, its city, and its state for the second bank account.
|
| Major Credit Card 1 | Text |
List the first major credit card you possess.
|
| Major Credit Card 2 | Text |
List the second major credit card you possess.
|
| Date of Application | ||
| Date of Application | Date |
Please enter the date when this application was filled out.
|
| Emergency Contact Information | ||
| Emergency Contact Name | Text |
Enter the full name of the emergency contact person.
|
| Emergency Contact Address | Text |
Enter the street address of the emergency contact person.
|
| Emergency Contact City State Zip | Text |
Enter the city, state, and zip code of the emergency contact person.
|
| Emergency Contact Work Phone Area Code | Text |
Enter the area code for the emergency contact's work phone number.
|
| Emergency Contact Work Phone Number | Text |
Enter the remaining digits of the emergency contact's work phone number.
|
| Emergency Contact Home Phone Area Code | Text |
Enter the area code for the emergency contact's home phone number.
|
| Emergency Contact Home Phone Number | Text |
Enter the remaining digits of the emergency contact's home phone number.
|
| Emergency Contact Relationship | Text |
Enter the relationship of the emergency contact person to you.
|
| Emergency Dwelling Access Authorization | ||
| Check Box21 | CheckBox | |
| Check Box22 | CheckBox | |
| First Other Occupant | ||
| First Other Occupant's Name | Text |
Provide the full name of the first other occupant.
|
| First Other Occupant's DL or Govt. ID Card Number | Text |
Enter the driver's license number or government ID card number for the first other occupant.
|
| First Other Occupant's Birthdate | Date |
Enter the birthdate of the first other occupant.
|
| First Other Occupant's Social Security Number | Text |
Provide the Social Security number of the first other occupant.
|
| First Vehicle | ||
| First Vehicle Make and Color | Text |
Enter the make and color of the first vehicle.
|
| First Vehicle Year | Text |
Enter the manufacturing year of the first vehicle.
|
| First Vehicle License Number | Text |
Enter the license plate number of the first vehicle.
|
| First Vehicle License State | Text |
Enter the state where the first vehicle's license plate was issued.
|
| General | ||
| Ever Evicted or Asked to Move Out | Checkbox |
Check this box if you or any occupant listed in this Application has ever been evicted or asked to move out.
|
| Ever Sued for Rent | Checkbox |
Check this box if you or any occupant listed in this Application has ever been sued for rent.
|
| Other Financial Resources | ||
| Other Financial Resource 1 | Text |
Provide details for the first other financial resource or income to be considered.
|
| Other Financial Resource 2 | Text |
Provide details for the second other financial resource or income to be considered.
|
| Other Financial Resource 3 | Text |
Provide details for the third other financial resource or income to be considered.
|
| Page 2 | ||
| Doctor's Name | Text |
Enter the full name of the doctor to be notified in case of serious illness or injury.
|
| Doctor's Phone Number 1 | Text |
Enter the first part of the doctor's phone number, typically the area code.
|
| Doctor's Phone Number 2 | Text |
Enter the second part of the doctor's phone number.
|
| Date | Date |
Enter the current date.
|
| Page 5 | ||
| Applicant 1 Signature Date | Date |
Enter the date when the first applicant signed the form.
|
| Applicant 2 Signature Date | Date |
Enter the date when the second applicant signed the form.
|
| Present Employment Information | ||
| Present Employer | Text |
Enter the name of your current employer.
|
| Employer Address | Text |
Enter the full street address of your current employer.
|
| Employer City, State, Zip | Text |
Enter the city, state, and zip code of your current employer.
|
| Work Phone Area Code | Text |
Enter the area code for your work phone number.
|
| Work Phone Number | Text |
Enter the main part of your work phone number.
|
| Position | Text |
Enter your job position or title at your current employer.
|
| Gross Annual Income | Number |
Enter your gross annual income.
|
| Job Start Date | Date |
Enter the date you began your current job.
|
| Supervisor's Name and Phone | Text |
Enter your supervisor's full name and their phone number.
|
| Previous Employment Information | ||
| Previous Employer 1 Name | Text |
Enter the name of your previous employer.
|
| Previous Employer 1 Address | Text |
Enter the street address of your previous employer.
|
| Previous Employer 1 City, State, Zip | Text |
Enter the city, state, and zip code of your previous employer.
|
| Previous Employer 1 Work Phone Area Code | Text |
Enter the area code for your previous employer's work phone number.
|
| Previous Employer 1 Work Phone Number | Text |
Enter the remaining digits of your previous employer's work phone number.
|
| Previous Employer 1 Position | Text |
Enter your job title or position held at your previous employer.
|
| Previous Employer 1 Gross Annual Income | Number |
Enter your gross annual income from this previous employment.
|
| Previous Employer 1 Employment Dates | Text |
Enter the start and end dates of your employment with this previous employer.
|
| Previous Employer 1 Supervisor Name and Phone | Text |
Enter the name and phone number of your supervisor at this previous employer.
|
| Referral Information | ||
| Referral_RentalPublication | Checkbox |
Check this box if you were referred by a rental publication.
|
| Referral Rental Publication Name | Text |
Please enter the name of the rental publication that referred you.
|
| Referral_RentalAgencyOrLocatorService | Checkbox |
Check this box if you were referred by a rental agency or locator service.
|
| Referral Rental Agency/Locator Service Name | Text |
Please enter the name of the rental agency or locator service that referred you.
|
| Referral Agent's Name | Text |
Please enter the name of the agent who referred you from the rental agency or locator service.
|
| Referral_Friend | Checkbox |
Check this box if you were referred by a friend.
|
| Referral_Newspaper | Checkbox |
Check this box if you were referred by a newspaper.
|
| Referral Friend's Name | Text |
Please enter the name of the friend who referred you.
|
| Referral Newspaper Name | Text |
Please enter the name of the newspaper that referred you.
|
| Referral_Other | Checkbox |
Check this box if you were referred by a method not listed above.
|
| Referral Other Source | Text |
Please enter the name of the other referral source not listed above.
|
| Check Box18 | CheckBox | |
| Rental/Criminal History Details | ||
| Declared Bankruptcy | Checkbox |
Check this box if you or any occupant listed in this Application have declared bankruptcy.
|
| Broken Rental Agreement | Checkbox |
Check this box if you or any occupant listed in this Application have broken a rental agreement.
|
| Sued for Rent | Checkbox |
Check this box if you or any occupant listed in this Application have been sued for rent.
|
| Sued for Property Damage | Checkbox |
Check this box if you or any occupant listed in this Application have been sued for property damage.
|
| Felony 1 Details | Text |
Provide the year, location, and type of the first felony conviction.
|
| Felony 2 Details | Text |
Provide the year, location, and type of the second felony conviction.
|
| Felony 3 Details | Text |
Provide the year, location, and type of the third felony conviction.
|
| Felony 4 Details | Text |
Provide the year, location, and type of the fourth felony conviction.
|
| Check Box8 | CheckBox | |
| Check Box7 | CheckBox | |
| Second Other Occupant | ||
| Second Other Occupant Name | Text |
Provide the full name of the second other occupant.
|
| Second Other Occupant DL/Govt ID Card # | Text |
Enter the driver's license or government ID card number for the second other occupant.
|
| Second Other Occupant Birthdate | Date |
Provide the birthdate of the second other occupant.
|
| Second Other Occupant Social Security # | Text |
Enter the Social Security Number for the second other occupant.
|
| Second Vehicle | ||
| Second Vehicle Make and Color | Text |
Please enter the make and color of the second vehicle.
|
| Second Vehicle Year | Text |
Please enter the year of the second vehicle.
|
| Second Vehicle License Number | Text |
Please enter the license number for the second vehicle.
|
| Second Vehicle State | Text |
Please enter the state where the second vehicle is registered.
|
| Smoking Information | ||
| Smoking: Yes | Checkbox |
Check this box if you or any occupant smoke.
|
| Smoking: No | Checkbox |
Check this box if neither you nor any occupant smoke.
|
| Third Other Occupant | ||
| Third Other Occupant Name | Text |
Enter the full name of the third other occupant.
|
| Third Other Occupant DL or Govt. ID Card Number | Text |
Enter the driver's license number or government-issued ID card number for the third other occupant.
|
| Third Other Occupant Birthdate | Date |
Enter the birthdate of the third other occupant.
|
| Third Other Occupant Social Security Number | Text |
Enter the Social Security number of the third other occupant.
|