Statutes, codes, and regulations
Maine Administrative Code
Department 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICESDivision 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERALChapter 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)
Private Non-Medical Institutions
Appendix 144-113-F

C.M.R. 10, 144, ch. 113, Level IV, app 144-113-F

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Current through 2024-51, December 18, 2024
Appendix 144-113-F

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.

C.M.R. 10, 144, ch. 113, Level IV, app 144-113-F