Move In Move Out Checklist
Professional Move In Move Out Checklist template for Adult Family Homes. Includes editable Word (.docx) and printable PDF formats.
[YOUR ADULT FAMILY HOME NAME HERE]
Move In Move Out Checklist
TEMPLATE • Inspection-Ready AFH Standard
1. Bedroom & Living Space Inspection
This agreement is entered into on this _____ day of ____________, 20___, between [ADULT FAMILY HOME NAME] (Provider) and [RESIDENT / POA NAME].
2. Resident Inventory & Personal Belongings Log
FINANCIAL TERMSBase Rate & Payment Schedule: Resident agrees to pay Provider a monthly base fee of $______ payable in advance on the first (1st) day of each calendar month.
3. Check-In / Check-Out Signatures
Provider Signature / Date
Resident / POA Signature / Date
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Document Section Breakdown (3 Sections)
Bedroom & Living Space Inspection
Walls, floors, window coverings, lighting, and bathroom baseline condition.
Resident Inventory & Personal Belongings Log
Valuables, furniture, electronics, and personal equipment inventory list.
Check-In / Check-Out Signatures
Resident/representative and provider inspection approval.
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