Property Owner / Landlord Contact Info
The COVID-19 Pandemic has deeply impacted business owners, including landlords and property owners.

Please help us connect with your landlord!

This information will help us with our long-term recovery plan and analysis.
Sign in to Google to save your progress. Learn more
Your Name
Your Business Name
Your Business Address
Your Landlord/Property Manager's Name *
Your Landlord/Property Manager's Email *
Your Landlord/Property Manager's Phone
They are a commercial... *
Do you owe COVID-19 related rent to your landlord/property management? *
Starting April 1, 2020
If yes, how much do you owe in rent (since April 1, 2020)? *
Have you received any financial relief assistance since April 1, 2020? *
Are you interested in participating in a program that would work with your landlord to help with rent? *
Are you concerned with eviction? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of City of Boston. Report Abuse