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Bed bug disclosure form template

Bed bug disclosure form template

Document and disclose bed bug history in rental properties to ensure legal compliance and tenant awareness.

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Bed bug disclosure form template

Document and disclose bed bug history in rental properties to ensure legal compliance and tenant awareness.

Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF

A bed bug disclosure form is a critical document for communicating the presence or history of bed bug infestations to prospective tenants. This template helps you maintain transparency and comply with legal requirements. In several US states, landlords are legally required to give bed bug disclosure forms to tenants before move-in.

This template allows you to document current infestations, past issues, and treatment methods, protecting you from potential legal disputes while giving tenants peace of mind about their new living environment. Use it to establish clear communication about pest history and demonstrate your commitment to property maintenance.

Related categories

  • Risk management and compliance templates
  • Facility management templates
  • Real estate templates
  • Safety templates
Preview of the template
Page 1
Bed Bug Disclosure
Are you aware of any current bed bug infestations or previous bed bug issues in this property?
If yes, please explain the nature and location of the infestation or issue.
Have you taken any steps to treat or control bed bugs on this property?
If yes, please describe the treatment methods and when they were performed.

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Frequently asked questions

How do I properly complete this bed bug disclosure form?

Complete the form by honestly answering whether there are current or previous bed bug issues. If answering “yes,” provide specific details about the location and nature of the infestation. Document all treatment methods used and when they were performed. Have both parties sign and date the form, keeping copies for your records to demonstrate compliance with disclosure requirements.

When exactly should I present this bed bug disclosure form to tenants?

Present the bed bug disclosure form to prospective tenants before they sign the lease agreement. In states with specific requirements like California, the form must be provided before lease execution. This timing ensures tenants make informed decisions about renting your property and prevents claims that information was withheld. For existing tenants, provide updated disclosures if new infestations occur during their tenancy.

How detailed should I be when describing previous bed bug treatments?

Be thorough but concise when describing treatments. Include the specific treatment methods used (heat treatment, chemical application, etc.), name of the pest control company, treatment dates, and which areas were treated. Note whether follow-up inspections confirmed elimination and any preventive measures implemented. This level of detail demonstrates your diligence in addressing the issue and provides valuable information for tenants.

What if I’m not sure whether there was a previous bed bug issue in my property?

If you’re uncertain about previous infestations, conduct a professional inspection before completing the disclosure form. Review property records for past treatments and ask previous property managers about any incidents. Being transparent about what you know and don’t know protects you legally. If information is limited, note this on the form while documenting your good-faith efforts to investigate the property’s history.


This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.
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