Sample Move-In/Move-Out Inspection Form
Appendix 5: Sample Move-In/Move-Out Inspection Form
HUD Handbook 4350.3 REV-1 — Occupancy Requirements of Subsidized Multifamily Housing Programs · 2026 edition · updated 2026-10-05 · United States
[Company name] [Company address]
| [Company name] [Company address] |
|||
|---|---|---|---|
| Property | Resident | ||
| Apartment No. | Unit Size | Move-In Inspection Date | Move-Out Inspection Date |
| Item | Condition | Condition | Cost to Correct |
|---|---|---|---|
| Move-In | Move-Out | ||
| ENTRANCE/HALLS | |||
| Steps and landings | |||
Handrails |
|||
| Doors | |||
| Hardware/Locks | |||
| Floors/ |
|||
| Walls/ |
|||
| Ceilings | |||
| Windows/ |
|||
| Lighting1 | |||
| Electrical Outlets | |||
| Closets2 | |||
| Fire alarms/ |
|||
| LIVINGROOM | |||
| Floor/ |
|||
Walls/ |
|||
| Ceiling | |||
| Windows/ |
|||
| Lighting1 | |||
| Electrical outlets | |||
HUD Occupancy Handbook Appendix 5: Move-In/Move-Out Inspection Format
5/03
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4350.3 REV-1
Appendix 5
| Item | Condition | Condition | Cost to Correct |
|---|---|---|---|
| Move-In | Move-Out | ||
| DININGROOM | |||
| Floor/ |
|||
Walls/ |
|||
| Ceiling | |||
| Windows/ |
|||
| Lighting1 | |||
| Electrical outlets | |||
| KITCHEN | |||
| Range | |||
Refrigerator |
|||
| Sink/Faucets3 | |||
| Floor/ |
|||
| Walls/ |
|||
| Ceiling | |||
| Windows/ |
|||
| Lighting1 | |||
| Electrical outlets | |||
| Cabinets | |||
| Closets/ |
|||
| Exhaust fan | |||
| Fire alarms/ |
|||
| BEDROOM(S) | |||
| Doors and locks | |||
| Floor/ |
|||
| Walls/ |
|||
| Ceiling | |||
| Windows/ |
|||
| Closets2 | |||
| Lighting1 | |||
| Electrical outlets | |||
HUD Occupancy Handbook Appendix 5: Move-In/Move-Out Inspection Format
5/03
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Appendix 5
4350.3 REV-1
| Item | Condition | Condition | Cost to Correct |
|---|---|---|---|
| Move-In | Move-Out | ||
| BATHROOM(S) | |||
| Sink/Faucets3 | |||
| Shower/Tub3 | |||
| Curtain rack/ |
|||
| Towel rack | |||
| Toilet | |||
| Doors/Locks | |||
| Floor/ |
|||
| Walls/ |
|||
| Ceiling | |||
| Windows/ |
|||
| Closets2 | |||
| Cabinets | |||
| Exhaust fan | |||
| Lighting1 | |||
| Electrical outlets | |||
| OTHER EQUIPMENT | |||
| Heating Equipment | |||
Air-conditioningunit(s) |
|||
| Hot-water heater | |||
| Smoke/ |
|||
| Thermostat | |||
| Door bell | |||
| TOTAL | |||
| 1. Fixtures, Bulbs, Switches, and Timers 2. Floor/ 3. Water pressure and Hot water |
HUD Occupancy Handbook Appendix 5: Move-In/Move-Out Inspection Format
5/03
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Appendix 5
4350.3 REV-1
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Move-In Move-Out This unit **is in decent, safe and sanitary condition. ** Any deficiencies identified in this report will be remedied _______________________________ within 30 days of the date the tenant Manager's Signature moves into the unit. _______________________________ Manager's Signature Agree with move-out inspection Disagree with move-out inspection I have inspected the apartment and If disagree, list specific items of found this unit to be in decent, safe disagreement. and sanitary condition. Any deficiencies are noted above. I recognize that I am responsible for keeping the apartment in good condition, with the exception of normal wear. In the event of damage, I agree to pay the cost to restore the apartment to its original condition. _______________________________ Resident's Signature _______________________________ Resident's Signature _______________________________ Resident's Signature _______________________________ Resident's Signature By Date By Date Prepared Prepared Reviewed Reviewed Prepared Prepared Reviewed Reviewed
HUD Occupancy Handbook Appendix 5: Move-In/Move-Out Inspection Format
6/07
1
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