<p> Housing Checklist</p><p>Item Condition Task to complete Review Date (/ X )</p><p>Living Room/Dining Room Floor </p><p>Walls and Ceiling</p><p>Door(s)</p><p>Door(s) lock and hardware</p><p>Lighting Fixture(s)</p><p>Window(s) & Screen(s)</p><p>Window Covering/Blinds</p><p>Smoke Alarm</p><p>Carbon Monoxide Alarm</p><p>Fireplace</p><p>Kitchen Floor </p><p>Walls and Ceiling</p><p>Door(s)</p><p>Door(s) lock and hardware</p><p>Lighting Fixture(s)</p><p>Window(s) & Screen(s)</p><p>Window Covering/Blinds</p><p>Cabinets</p><p>Counters Stove/Oven/Range Hood</p><p>Refrigerator</p><p>Dishwasher</p><p>Sink/plumbing</p><p>Bathroom(s) Floor </p><p>Walls and Ceiling</p><p>Door(s)</p><p>Door(s) lock and hardware</p><p>Lighting Fixture(s)</p><p>Window(s) & Screen(s)</p><p>Window Covering/Blinds</p><p>Sink/Plumbing</p><p>Bathtub/Shower</p><p>Toilet</p><p>Bedroom #1 Floor </p><p>Walls and Ceiling</p><p>Door(s)</p><p>Door(s) lock and hardware</p><p>Lighting Fixture(s)</p><p>Window(s) & Screen(s)</p><p>Window Covering/Blinds</p><p>Closet Bedroom #2 Floor </p><p>Walls and Ceiling</p><p>Door(s)</p><p>Door(s) lock and Hardware</p><p>Lighting Fixture(s)</p><p>Window(s) & Screen(s)</p><p>Window Covering/Blinds</p><p>Closet</p><p>Bedroom #3 Floor </p><p>Walls and Ceiling</p><p>Door(s)</p><p>Door(s) lock and Hardware</p><p>Lighting Fixture(s)</p><p>Window(s) & Screen(s)</p><p>Window Covering/Blinds</p><p>Closet</p><p>Hallway(s) Smoke Alarm</p><p>Carbon Monoxide Alarm</p><p>Floor</p><p>Walls/Ceiling Lighting Fixtures</p><p>Closet(s)</p><p>Other Heating/Cooling System</p><p>Washer</p><p>Dryer</p><p>Patio</p><p>Lawn</p><p>Parking Area</p><p>Comments:</p><p>______</p><p>______</p><p>Name Date</p><p>______</p><p>Name (Housing Case Manager) Date</p>