Request to Review Charge or Security Deposit - Property Management Company

We will review a charge ONE TIME.
Provide all the information we need to make our decision.

This form is for CURRENT TENANTS disputing a charge or PAST TENANTS disputing a security deposit disbursement.

Requests for review must be made using this form. We will respond within 10 business days. Our decision is final.

BEFORE SUBMITTING THIS FORM:

Read your lease
Review your Property Condition Report
Read your Move Out Instructions
Gather documents, receipts, photos, etc to support your request. These must be attached to this form

This form is for CURRENT TENANTS disputing a charge or PAST TENANTS disputing a security deposit disbursement.
First Name *
Last Name *
Rental Address Your Dispute Is About *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
I Am A *
Current TenantPast Tenant
Date of Charge You Are Disputing *
Amount of Charge *The full amount charged to your account, even if you are only disputing a portion of the charge.
Amount Disputed *List only the amount your are disputing.
Reason For Charge *List the reason for the charge as listed on your statement.
Reason For Dispute *
Explain your dispute and provide specific details .
How Would You Like This Issue To Be Resolved? *
Provide specific details and dollar amounts.
File Uploads Attach files (receipts, photos, etc.) supporting your dispute. Your dispute will not be reviewed unless you can provide proof.
Disclaimer *
BY SUBMITTING THIS FORM the Tenant certifies that the information provided is true and correct. Tenant acknowledges that a review of charges may result in no change to the charges, additional charges, or a reduction in charges. Tenant acknowledges that Orange Realty Group will review a charge only one time only.I Agree to the Above Statement