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The City of Portland, Oregon

Portland Housing Bureau

Solving the unmet housing needs of the people of Portland.

Phone: 503-823-2375

fax: 503-823-2387

1900 SW 4th Avenue, Suite 7007, Portland, OR 97201

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RELOCATION EXEMPTION APPLICATION (REA) FORM

Relocation Exemption Application (REA) Form to claim Exemption from the obligation to pay city Relocation Assistance as specified in Portland City Code 30.01.085.

In response to COVID-19, there are eviction moratoriums that may prohibit a landlord from issuing terminations without a tenant-based cause. See more information about COVID-19 landlord-tenant policy responses.

Before starting the form, please read the general instructions. Review the exemption description below to confirm it matches your eligibility. To select a different exemption form, follow the link to return to the exemption list.

General Instructions
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EXEMPTION 11: Demolition

“A Dwelling Unit rented for less than 6 months with appropriate verification of the submission of a demolition permit prior to the Tenant renting the Dwelling Unit.”

The following Administrative Rules and Process apply to Exemption 11:

  • The Landlord must submit the required REA form to PHB.

  • The Landlord must receive an Acknowledgement Letter issued by PHB. An Acknowledgment Letter does not exempt a Landlord from complying with all relevant notice requirements.

  • For Rental Agreements beginning after December 14, 2020 the Landlord must provide to the Tenant a copy of all pages of the Acknowledgement Letter prior to the Tenant entering into a Rental Agreement.

  • In addition to providing the Acknowledgment Letter as described above, the Landlord must provide to the Tenant a copy of all pages of the Acknowledgement Letter, including a description of a Tenant's Rights and Obligations, prior to issuance of a Termination Notice.

  • This exemption only applies if the Landlord is issuing a Termination Notice.

  • The Owner(s) of the Dwelling Unit shall not receive an Acknowledgement Letter for this exemption more than once and is permanently ineligible to apply any other exemption to the same Dwelling Unit.
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Relo Exemption 11

STEP ONE: DOCUMENTATION GUIDANCE

This exemption does not require supporting documentation.

IMPORTANT: The demolition permit/application number must be provided and will be independently verified before an Acknowledgment Letter is issued.

STEP TWO: LANDLORD INFORMATION

Who is the Owner/Landlord of the Dwelling Unit?

Note: Acknowledgment Letters are issued to the legal name(s) of the property Owner(s)
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STEP THREE: DWELLING UNIT INFORMATION
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The Dwelling Unit is owned by:
What is the street address of the Dwelling Unit for which you are claiming exemption?
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e.g. 1120 SW 5TH or 5TH AND MAIN
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What is the demolition permit/application number for this property?
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STEP FOUR: RENTAL AGREEMENT INFORMATION
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This exemption will be applied to:
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When did the tenancy/Rental Agreement originally begin?

STEP FIVE: CERTIFICATIONS & ACKNOWLEDGEMENTS

Note: This REA Form is not complete unless all sections of the form are completed, the certifications and acknowledgment statements below are certified/acknowledged, the form is signed and dated, and any required documentation is attached.
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I acknowledge that this Exemption applies only for a Dwelling Unit which is/will be rented for 6 (six) months or less and only after a demolition permit has been filed for the Dwelling Unit.
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I acknowledge that this exemption is effective only when Relocation Assistance is triggered by issuance of a Termination Notice, as defined in the Administrative Rules. It is not effective when Relocation Assistance is triggered by Rent increase(s) or by substantial changes to the terms of the Rental Agreement.
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I acknowledge that use of this exemption permanently prevents the Dwelling Unit from being eligible for any other exemption claimed by the same Landlord.
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I acknowledge that Administrative Rules referenced in this REA Form identify specific stipulations with which I must fully comply in order to claim exemption, and that if I fail to comply with each and all applicable stipulations, my claim of exemption is invalid. I understand that issuance of an Acknowledgment Letter does not constitute authorization for any action or inaction that is inconsistent with any and all applicable rules and laws.
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I acknowledge that exemption from obligation to pay city Relocation Assistance as required under PCC 30.01.085 does not extend to the notification requirements of that same section of City Code, nor does it exempt a Landlord from the limitations and obligations of any other applicable local, state or federal law. I understand that acknowledgment of my claim of exemption is not authorization for any action or inaction that is inconsistent with all applicable laws and that I must fully comply with each and any stipulation associated with this exemption.
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I hereby certify that all information provided by me in the REA Form and/or provided in supporting documentation is current, true and complete to the best of my knowledge. I understand that I must inform the Portland Housing Bureau immediately and in writing of any changes. I understand that a Landlord that fails to comply with any of the requirements set forth in PCC 30.01.085 shall be liable to the Tenant for an amount up to three times the monthly Rent as well as actual damages, city Relocation Assistance, reasonable attorney fees, and costs.
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