For purposes of this chapter:
I am currently unable to pay my rent or other financial obligations under the lease in full because of one or more of the following:
Any public assistance, including unemployment insurance, pandemic unemployment assistance, state disability insurance (SDI), or paid family leave, that I have received since the start of the COVID-19 pandemic does not fully make up for my loss of income and/or increased expenses.
Signed under penalty of perjury:
Dated:
Ca. Civ. Proc. Code § 1179.02