Except for rentals less than thirty (30) days, owners must notify ICHA of the rental, including the name of the tenant(s), the tenant's campus affiliation, and term of the rental. Kindly complete the attached form and return it to ICHA at Please be sure to include a local emergency contact and your away address below so we may reach out in case of emergency while you are away.
MM slash DD slash YYYY
Local Emergency Contact(Required)
Local Emergency Address
Local Emergency Contact Email(Required)
Homeowner's Away Address(Required)
Homeowner's Away Email(Required)
MM slash DD slash YYYY
MM slash DD slash YYYY
Tenant Email Address(Required)

If Tenant is not full-time UCI employee, please complete:

Owners agree to follow all local, state and federal Fair Housing laws. Owner assures that tenants agree to follow resident requirements, Ground Sublease and University Hills Property Use and Maintenance Regulations. Owner represents that all the above statements are true and correct and authorizes verification of the above items. For questions, please contact ICHA @ (949) 824-7345 or