Using this worksheet
Use this worksheet to organize observations and maintenance requests. It is not a mold diagnosis, a legal notice, or permission to enter equipment or disturb building materials. See the tenant action guide for context.
Letter to your property manager
Copy this template into an email or document. Replace the bracketed details, remove lines that do not apply, and list only the files you actually attach. For a printable version, download the editable letter PDF.
Subject: Moisture and suspected mold repair request - [address/unit] Hello [property manager or landlord name], On [date], I noticed [describe the condition] in [room or location]. I also observed [leak, dampness, or other moisture concern]. Please arrange an inspection, identify and repair the moisture source, and address the affected materials. Please confirm the inspection date and proposed work in writing. I can coordinate access at [available days and times]. Previous maintenance ticket numbers are [numbers, or delete this sentence]. Attachments: [list photos or documents, or delete this line]. Thank you, [Your name] [Preferred contact information]
Replace the bracketed details before sending.
Use the delivery method required by your lease and local rules, and keep a dated copy. This is a maintenance request, not a notice to withhold rent or end a lease.
Property and contact
- Rental address and unit:
- City/county responsible for housing or code enforcement:
- Property manager and maintenance contact:
- Maintenance portal or required request method:
- Relevant lease notice instructions:
What you observed
| Date and time | Room / exact location | Visible condition or odor | Water source, if known | Photo filename | Temperature / humidity, if measured |
|---|---|---|---|---|---|
Describe observations without assigning a species or cause you have not established. Record “suspected” where appropriate.
Communication and work
| Date | Person / agency | Ticket number | Request or response | Inspection / access date | Next follow-up |
|---|---|---|---|---|---|
Questions for management
- What is causing the moisture, and how will it be corrected?
- Which materials or equipment need work?
- Who will perform each part, and what qualifications apply?
- What arrangements are needed during inspection and cleanup?
- What records will show that the work is complete?
- Who should receive a report if the condition returns?
Keep original photos, written requests, delivery confirmations, inspection documents, and invoices together. Keep medical records private; share them only with the appropriate clinician, adviser, or recipient when needed.
Editorial review: 2026-09-07