UD-104(A) ATTACHMENTDECLARATION OF COVID-19RELATEDFINANCIAL DISTRESS Judicial Council forms Preview on Page 1

UD-104(A) ATTACHMENTDECLARATION OF COVID-19RELATEDFINANCIAL DISTRESS Judicial Council forms 2026

Here's how it works

01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.

Definition and Meaning

The UD-104(A) Attachment Declaration of COVID-19-Related Financial Distress is a legal form utilized in California, specifically designed to assist tenants who are unable to meet rent or lease obligations due to financial difficulties caused by the COVID-19 pandemic. This form serves as a formal declaration under penalty of perjury and outlines the various hardships faced, such as loss of income or increased medical expenses. A comprehensive understanding of this document is crucial for both tenants and landlords navigating rent-related disputes during the pandemic.

How to Use the UD-104(A) Form

Identifying Financial Hardships

List specific COVID-19-related reasons impacting financial capacity.
Include job losses, reduced work hours, or unforeseen expenses.

Declaring Truthfulness

Fill out all sections truthfully to meet legal standards.
Sign under penalty of perjury, ensuring all statements are accurate.

Submitting the Form

Submit as part of the tenant's defense during an eviction lawsuit.
Provide a copy to the landlord or their legal representative.

How to Obtain the UD-104(A) Form

Online Resources

Access the form on the California Courts website.
Downloadable PDF format available for easy printing and completion.

Physical Locations

Obtain a physical copy at local county courthouses.
Legal aid societies or tenant rights organizations may also supply forms.

Steps to Complete the Form

Personal Information: Include full name, address, and contact details.
Explanation of Distress: Clearly articulate financial struggles due to COVID-19.
Signatures: Sign the document, attesting to the truth of the declaration.

Ensure each section is filled accurately.
Review for completeness before submission.

Legal Use of the UD-104(A) Form

This form serves as a protective measure for tenants against eviction due to non-payment of rent attributed directly to the impacts of COVID-19. When used correctly, it provides a legal avenue for tenants to communicate financial distress legally recognized by California courts.

Key Elements of the UD-104(A) Form

Financial Impact: Details on reduced income sources.
Public Assistance: Note if public assistance fails to cover financial losses.
Perjury Clause: Legal declaration ensuring information truthfulness.

State-Specific Rules for the UD-104(A) Form

California-Specific Use

Exclusively used within California's jurisdiction.
Adheres to state-specific eviction protections related to COVID-19.

Compliance and Deadlines

Abide by California's timelines for submission during court proceedings.
Stay informed about updates or extensions to eviction moratoriums.

Examples of Using the Form

Real-World Scenarios

A tenant facing eviction due to inability to pay rent submits the form to court.
A tenant on furlough explains job status and outlines efforts to obtain alternative income sources.
Case Study: A restaurant worker uses the form during an eviction case, detailing reduced shifts and denied unemployment claims.

Form Submission Methods

Online and Mail Options

Submit online through the California Courts portal for a convenient process.
Physical submission via mail or in person if preferred for formal proceedings.

In-Person Submissions

Recommended for tenants seeking legal advice simultaneously.
Provide immediate proof of court filing for peace of mind.

be ready to get more

Complete this form in 5 minutes or less

Get form

Is CA COVID-19 rent relief still available?

Housing Is Key. Visit .ca.gov/lafires for information and resources for Californians impacted by the Los Angeles Fires. California COVID-19 Rent Relief program is closed.

Is AB 3088 still in effect?

EVICTION MORATORIUM EXTENDED The Act extends tenant protections included in the Tenant, Homeowner, and Small Landlord Relief and Stabilization Act of 2020 (AB 3088) to June 30, 2021. These protections were originally set to expire on February 1, 2021.

How to answer an eviction notice in California?

To respond to an eviction case, you need to fill out an Answer form or other response forms and file them with the court. This gives you a chance to tell the judge your side of the story and explain if your landlord legally cant evict you.

When did the COVID eviction moratorium end in California?

After more than two years and multiple extensions, most remaining elements of Californias COVID-19 eviction moratorium have come to an end. June 30 was the last day for both the COVID-19 Tenant Relief Act (CTRA) and the COVID-19 Rental Housing Recovery Act.

Is the California Tenant Protection Act still in effect?

The California Tenant Protection Act of 2019 (AB 1482) is a statewide law that goes into effect on January 1, 2020 and expires on January 1, 2030. It is amended by SB 567. Requires a landlord to have a just cause to terminate a tenancy.