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Resident Agreement

Outlines expectations and responsibilities between Kura Solution and the Resident.

Kura Solution

Appendix B — Resident Agreement

Outlines expectations and responsibilities between Kura Solution and the Resident.

Resident & Stay Details

Resident Name *

Residence Location

Move-In Date

Expected Length of Stay

Monthly / Weekly Fee ($)

Payment Due Date

Resident Agrees To

Maintain sobriety
Follow all house rules and policies
Participate in case management, peer recovery, and programming
Submit to drug/alcohol testing when required
Maintain respectful conduct
Meet financial obligations

Kura Solution Agrees To

Provide safe, supportive housing
Offer recovery-oriented services
Protect confidentiality
Maintain grievance procedures

This agreement does not constitute a landlord-tenant lease but outlines program participation requirements.

Signatures

Resident Signature *

Sign here

Use mouse, trackpad, or finger to sign.

Resident Printed Name *

Date *

Program Representative Signature *

Sign here

Use mouse, trackpad, or finger to sign.

Program Representative Printed Name *

Date *

Electronic Signature ConsentI agree that the signature(s) I have provided above are my legal electronic signatures, with the same effect as a handwritten signature, under the federal E-SIGN Act (15 U.S.C. § 7001 et seq.) and applicable state law (UETA). I authorize Kura Solution to maintain this signed form as a legal record. I have had the opportunity to read and understand this form and my signature(s) are made knowingly and voluntarily.

A signed PDF copy will download to your device after submission. Records protected under 42 CFR Part 2 & HIPAA.