This form is used by a tenant to inform the landlord of a problem with the lease premises, specifically that there are unsanitary conditions. With this form, the tenant notifies the landlord that he/she/it has breached the lease agreement and demands that immediate repairs be made.
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.