TAA's Smoke Free Housing Program Form

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To apply for the Triangle Apartment Association's Smoke-Free Certification, a community must have a lease or contract that prohibits employees, residents and guests from smoking in specified areas in the community.

The minimum requirement for the certification is a policy that prohibits smoking indoors, on porches, balconies or patios where applicable. (Broader policies are legal and recommended, including other outdoor private and common areas, building perimeter restrictions, 100% smoke-free campus and prohibition of electronic cigarettes and/or hookah.)

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Certification is $45/property. Includes a Smoke-free Certification packet with the following benefits:

Two smoke-free certification decals to display at property (more may be purchased for $5 each)
Materials from TAA to display in leasing office or clubhouse
Smoke-free-certified logos for use on website and in printed marketing materials
Recognition in list of smoke-free communities on TAA website
Recognition at applicable TAA events, through community partners, in news stories and on social media sites

You will be directed to the TAA website to complete your purchase once you submit this form!

Community Name

Address

City/State/Zip

Owner/Contact

Title of Owner/Contact

Phone

Website

Community Classification

Market Rate

Afforable

Public

Other:

Clear selection

Year Built

Total Units

Number of Smoke-Free Units

Date of Smoke-Free Policy

Please check all boxes that apply to your smoke-free policy.

Smoking (defined as cigarettes, pipes, cigars, cigarillos) is prohibited in the following areas:

Inside apartment homes **MINIMUM REQUIREMENT

Indoor common areas (hallways, clubhouse, laundry, etc) **Minimum requirement

Outdoor private areas/ PORCH **minimum requirement

Outdoor private areas/ PATIO **minimum requirement

Outdoor private areas/ BALCONY (where applicable) **minimum requirement

Outside/ 25 feet of all buildings

Outside except designated areas

100% smoke-free campus

Electronic cigarettes prohibited indoors

Hookah prohibited indoors

Other:

Required

For more information or questions, please contact Dustin Engelken at dengelken@triangleaptassn.org or 919-782-1165 ext. 4

This program was generously underwritten by:

A copy of your responses will be emailed to the address you provided.

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