Connecticut Rental Application Form

What the Connecticut rental application is

This is a two-page rental application form for apartments and houses in Connecticut. Page 1 collects the applicant's identity, other occupants, rental history for three addresses, employment history for three jobs, bank and credit balances, and vehicles. Page 2 covers references and emergency contacts, a list of general screening questions and the signed agreement and authorization. It is a general template, not a form issued by the State of Connecticut or the Department of Housing, and the state does not publish an official rental application.

Who uses it

Connecticut landlords use it as a basic tenant application, and each adult applicant completes their own copy before a lease is signed.

What to have ready

• Social Security number, driver's license number and any other names you have used
• Names, birth dates and relationships for up to five other people who will live with you
• Addresses, dates, last rent paid and the owner or manager's name and phone number for your current, previous and prior homes
• Employer names, addresses, phone numbers, supervisors, occupation, monthly gross pay and dates for up to three jobs
• Names of the institutions and the balances for your savings, checking, credit card and auto loan accounts
• Vehicle make, model, color, year and plate, including other occupants' vehicles

For related forms such as leases, browse our real estate form templates.

How to fill out the Connecticut rental application online

Click "Fill Template Now" to open the form, type into each field, sign in the Signature box on page 2, add the date and download the completed PDF to email or print.

Applicant and other occupants

Enter First Name, Middle, Last, Birth Date, Social Security #, Driver's License #, Any Other Names You've Used In The Past, Home Phone and Cell Phone. The All Other Proposed Occupants table has five rows with Birth Date and Relationship To Applicant.

Rental/Residence History

Columns for Current Residence, Previous Residence and Prior Residence each ask for Street Address, City, State & Zip, Last Rent Amount Paid, Owner/Manager and Phone Number, Reason for leaving, and three yes/no style questions: Is/Was rent paid in full?, Did you give notice? and Were you asked to move? Add the From/To Dates of Residency and the Name(s) in which your utilities are now billed.

Employment History, Credit History and Vehicles

For Current, Previous and Prior Employment, fill in Employed By, Address, Employer's Phone, Occupation, Name of Supervisor, Monthly Gross Pay and From/To Dates of Employment. Credit History lists Savings Account, Checking Account, Credit Card and Auto Loan, each with Bank/Institution Name and Balance On Deposit or Balance Owed. The Vehicles table takes Make, Model, Color, Year and License Plate for two vehicles.

References & Emergency Contacts

Give the Name, Street Address, City, State & Zip and Phone Number for your Doctor, Lawyer and Nearest Relative Living Elsewhere. The paragraph below lets the landlord contact them if you cannot be reached and lets the relative remove your belongings if you abandon the apartment.

General Information

Answer each question on its line, including late rent and eviction notices, bankruptcy, felony convictions, lawsuits, smokers, pets (type, breed, approximate weight and age), move-in date, why you are moving, and anything negative a credit or criminal check would show.

Signing and submitting

The Agreement & Authorization block certifies your answers, authorizes a credit and/or criminal check and contact with everyone listed, and confirms that the application is not a lease. Sign, date and return it to the landlord. You can also sign a PDF online if the landlord sends their own form.

Note that the printed authorization mentions a non-refundable fee to cover the cost of processing the application. In Connecticut, the fee a landlord may charge an applicant is limited to a tenant screening report fee, explained below, so landlords using this template in Connecticut should make sure any fee they collect fits that rule.

Connecticut rules on fees, deposits and screening

General information as of October 2026, not legal advice.

• Application and screening fees: Under Conn. Gen. Stat. § 47a-4d, a landlord may not charge a prospective tenant a fee for processing, reviewing or accepting a rental application. Before or at the start of a tenancy, the landlord may collect only a security deposit, the first month's rent, a deposit for a key or special equipment, and a tenant screening report fee of no more than $50 plus an annual inflation adjustment set by the Commissioner of Housing. Move-in and move-out fees are not allowed.
• Your copy of the report: A landlord who charges a screening fee must give you a copy of the report (or information on how to get it from the company that produced it) and a copy of the screening company's receipt or invoice. A 2026 law extended these limits to third parties acting on a landlord's behalf, according to the Office of Legislative Research's 2026 Acts Affecting Housing and Real Estate report.
• Security deposit limit: Under Conn. Gen. Stat. § 47a-21, the deposit may not exceed two months' rent for a tenant under 62, or one month's rent for a tenant 62 or older. Landlords must also pay interest on deposits.
• Deposit return: The landlord must return the deposit plus interest, or an itemized list of damages with the balance, within 21 days after the tenancy ends or 15 days after receiving your forwarding address in writing, whichever is later.
• Erased criminal records: Since January 1, 2023, Conn. Gen. Stat. § 46a-80c makes it a discriminatory practice to refuse to rent based on erased criminal history record information.
• Source of income: Conn. Gen. Stat. § 46a-64c prohibits refusing to rent because of lawful source of income, which includes housing assistance, Social Security, supplemental security income, child support and alimony.

Common mistakes

• Paying a separate "application fee" on top of a screening report fee
• Not asking for a copy of the screening report and the receipt
• Leaving the Previous and Prior Residence columns blank