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Rules and Violation Policy Acknowledgement

Healthy Hearts Home Living is committed to maintaining a safe, respectful, peaceful, and supportive environment for all residents. Please complete this form to confirm that you have reviewed and understand the household rules, expectations, and possible consequences for violations. These rules help protect the comfort, safety, and wellbeing of everyone in the home.

Resident Information
Household Safety Rules

No Drugs Policy Acknowledgement

No Alcohol Policy Acknowledgement

No Smoking or Vaping Inside Acknowledgement

No Firearms Acknowledgement

No Stealing Acknowledgement

No Property Destruction Acknowledgement

Respectful Living Rules

Respectful Communication Acknowledgement

Noise Policy Acknowledgement

Proper Attire Acknowledgement

Children Policy Acknowledgement

Visitor Approval Acknowledgement

Room and Common Area Rules

Clean Room Acknowledgement

Clean Up After Yourself Acknowledgement

Common Area Belongings Acknowledgement

No Sleeping in Common Areas Acknowledgement

Assigned Room and Bed Acknowledgement

Room Entry Acknowledgement

No Personal Furniture Acknowledgement

Food, Medication, and Utilities

No Food in Bedrooms Acknowledgement

Food Labeling Acknowledgement

Medication Sharing Acknowledgement

Lights and Utilities Acknowledgement

Violation Policy

Violation Policy Acknowledgement

Final Rules Agreement

Signatures
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