Mediation Request Form

Please fill out the form below to request mediation services. Make sure to provide accurate and detailed information about the property, tenant, and nature of the conflict. Once your request is submitted, our team will review the information and reach out to you to discuss the next steps.

Tenant Details

Maximum file size: 134.22MB

Mediation Request Type

Service Request (select one)

Conflict Details

Mediation Conflict

Risk Mitigation Funds Request

Rent Arrears

All responses and uploaded documents must be accurate and relevant. Submitting incorrect or unrelated documents will result in an automatic denial of your claim. Ensure each document directly corresponds to the request to avoid disqualification.

Do you have a tenant ledger?
Without a tenant ledger, we cannot accept your request. Thank you.

Maximum file size: 134.22MB

Vacancy Loss

All responses and uploaded documents must be accurate and relevant. Submitting incorrect or unrelated documents will result in an automatic denial of your claim. Ensure each document directly corresponds to the request to avoid disqualification.

Has an RPSS tenant previously leased the unit?
The unit has never been leased to an RPSS client, the unit is not eligible for Vacancy Loss. This benefit is only applicable for turnover units.
Has the Unit Passed PATH's Habitability Inspection?
If the unit has not passed habitability, we cannot accept your claim.
Has the Unit Been Vacant 30 Days since passing PATH's Habitability Inspection?
If it has not been 30 days, we cannot accept your claim.

Maximum file size: 134.22MB

Mediation Documentions

To process your mediation request, please provide documentation or proof of the lease violations. Submission of official notices is required for acceptance.

Maximum file size: 134.22MB

Acknowledgement

I acknowledge that according to Section 1001 of Title 18 of the United States Code makes it a criminal offense to make willfully a false statement or misrepresentation to any Department or Agency of the Unites States as to any matter within its jurisdiction.

We're Sorry

Based on your responses, your request is ineligible for RPSS Mediation Services. If you believe this is an error or need further assistance, please contact our support team.