Code of Maine Rules
10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES
144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL
Chapter 113 - Regulations Governing the Licensing and Functioning of Assisted Housing Programs (includes Assisted Living Programs, Residential Care Facilities, and Private Non-Medical Institutions) (formerly 10-149 Ch. 113)
Level III - Private Non-Medical Institutions
Appendix 144-113-III-F
Current through 2024-38, September 18, 2024
This Appendix applies only if you rent your unit from an entity (the "Landlord") that is not the Provider.
A. Your Landlord is: _____________________________.
B. Your current monthly rent is:____________________.
C. Among other things, your lease provides that you will receive the following (check all that applies):
[] All housing costs (there will be no extra charges)
[] All housing costs except:
______________________________________________________
______________________________________________________
______________________________________________________
[] Semi-private room
[] Shared bathroom
[] Private room
[] Private bathroom
[] Efficiency apartment
[] One Bedroom Apartment
[] Two Bedroom Apartment
[] Other
D. Your lease is attached here for reference.
