Close
Close
Browser Compatibility Notification
It appears you are trying to access this site using an outdated browser. As a result, parts of the site may not function properly for you. We recommend updating your browser to its most recent version at your earliest convenience.
Skip to Content

iCreate Base Site Logo

Contact Us Main menu icon
Contact UsCareers
I Want to...
  • Apply or Register
    • Affordable & Subsidized Housing
    • Child Care Fee Subsidy
    • Home Ownership Program
    • Land Severance
    • Ontario Works
    • Ontario Renovates Program
  • Learn About
    • Committee Meeting Dates
    • Eat & Drink
    • Local Businesses
    • Long Term Care
    • Maps
    • Agendas, Minutes and Video
  • Pay
    • Pay a Fine
    • Property Taxes
  • Report
    • Issue
    • Submit a Disclosure Request
    • Submit a Notice of Intention to Appear for traffic fine
    • Application for Extension of Time to Pay Fine
    • Payment Plan - Application for Extension of Time to Pay Fine
  • Services
    • A-Z Services
    • Accessibility
    • Agendas, Minutes and Video
    • Child and Youth Programs
    • Community Safety and Well-Being Plan
    • COVID-19
    • Education & Training
    • Emergency Services
    • Employment Centres
    • Events Calendar
    • First Time Home Buyers
    • Freedom of Information
    • Garbage and Recycling
    • Green Initiatives
    • Health Services
    • Homelessness
    • Housing
    • Legal Notice
    • Libraries
    • Maps and GIS
    • Online Services
    • Ontario Works
    • Places of Worship
    • Planning Services
    • Property Taxes
    • Provincial Offences & Fines
    • Roads and Bridges
    • Social Housing
    • Truth and Reconciliation
    • Utilities
    • Volunteer
    Quick Links:
    • Construction Projects
    • Events Calendar
    • Housing
    • Maps and GIS
    • Pay A Fine
    • Report an Issue
  • Explore
    • About The Counties
    • Business Directory
    • Eat and Drink
    • Events Calendar
    • Limerick Forest
    • Maps and GIS
    • Plan Your Trip
    • See and Do
    • Stay
    • Municipalities
    Quick Links:
    • Business Directory
    • Events Calendar
    • Maps and GIS
  • Business
    • Available Lands and Buildings
    • Bids and Tenders
    • BizPal-Business Permits and Licenses
    • Business Directory
    • Education & Training
    • Invest in Leeds Grenville website
    • Maps and GIS
    • Municipalities
    • Planning Services
    • Small Business
    • Tax Rates
    Quick Links:
    • Available Lands and Buildings
    • Business Directory
    • BizPal-Business Permits and Licenses
    • Funding Programs and Incentives
    • Maps and GIS
    • Starting a Business
  • Government
    • 2022 Municipal and School Board Elections
    • Accessibility
    • Agendas, Minutes and Video
    • Budget and Finance
    • Human Resources
    • Closed Meetings
    • Committees and Boards
    • Contact Us
    • Counties Council
    • COVID-19
    • Divisions
    • Integrity Commissioner
    • Maps and GIS
    • News and Public Notices
    Quick Links:
    • Agendas, Minutes and Video
    • Council Calendar
    • Current Subdivision Applications
    • News and Public Notices
    • Registry of Disclosures of Pecuniary Interest
    • Report an Issue
  • Long-Term Care
    • Committee of Management
    • Staff Directory and Contact Information
    • Maple View Lodge
    • G. Tackaberry and Family Home: Excellence in Long-Term Care
    • Maple View Landings: Athens, Ontario Complex
    Quick Links:
    • Accommodations - Admission Process
    • G. Tackaberry Family Home: Excellence in Long-Term Care
    • Donate Now
home iconHomeServicesHomelessnessHomelessness Forms
Show or hide navigation More
 
  • Open new window to share this page via Facebook Facebook
  • Open new window to share this page via LinkedIn LinkedIn
  • Open new window to share this page via Twitter Twitter
  • Email this page Email
  • Homelessness
    • After-Hours Homelessness Response
    • ByName List
    • Emergency Shelters
    • Homelessness Prevention Benefit
    • Homelessness Help Newsletter
    • Homelessness Forms
    • Supportive Cabins Initiative
  • A-Z Services
  • Accessibility
    • Multi-Year Accessibility Plan Consultation Survey
  • Agendas, Minutes and Video
  • Child and Youth Programs
    • Child Care and Early Years Service Plan 2024-2028
    • Family Program Guide
    • Licensed Child Care
      • Child Care Funding and Service Guidelines
      • Child Care Expansion
      • Canada-Wide Early Learning and Child Care System
      • Licensed or Operating Capacity Proposed Change Request
      • Child Care Fee Subsidy
        • Application for Licensed Child Care
      • Wage Enhancement and Home Child Care Enhancement Grant Application
      • Special Needs Resource Services
    • EarlyON Child and Family Centres
      • Become a Volunteer
    • Summer Camps
  • Community Safety and Well-Being Plan
  • COVID-19
  • Education & Training
  • Emergency Services
    • 9-1-1
    • Emergency Planning
    • Fire
    • Paramedic Service
      • Paramedic Services Week
    • Police
  • Employment Centres
  • Events Calendar
  • First Time Home Buyers
  • Freedom of Information
  • Garbage and Recycling
  • Green Initiatives
  • Health Services
    • Healthy Eating
    • Hospitals and Clinics
    • Long Term Care
      • St. Lawrence Lodge
  • Housing
    • 10 Year Housing & Homelessness Plan
    • Affordable Housing
      • Leeds and Grenville Affordable Housing Summit 2023
      • Affordable Housing Development
      • Affordable Housing Development Lab
      • Affordable Housing Events
      • Housing Allowance Programs and Benefits
      • Homeownership Program
      • Ontario Renovates Program
      • Secondary Suites Programs
    • Social Housing
  • Legal Notice
  • Libraries
  • Maps and GIS
  • Online Services
    • Apply for a Job
    • Bids and Tenders
    • Business Directory
    • BizPal-Business Permits and Licenses
    • Pay Fines
    • Report an Issue
  • Ontario Works
    • Employment Supports
    • Frequently Asked Questions
    • Learning, Earning and Parenting Program (LEAP)
    • Ontario Works Forms
  • Places of Worship
  • Planning Services
  • Property Taxes
  • Provincial Offences & Fines
    • Pay a Fine
    • Provincial Offences Calendar
    • Notice of Intention to Appear in Court Form
    • Disclosure Request Form
    • Application for Extension of Time to Pay Fine
      • Payment Plan
  • Roads and Bridges
    • Construction Projects
    • Municipal Consent and Road Cut Permits
    • Road Closures and Detours
    • Road Construction News
    • Roadside Spraying
    • Traffic Counts
  • Social Housing
    • Affordable Housing
    • Rent Supplement Program
    • Social Housing Directives
    • Social Housing Forms
    • Social Housing Registry
      • Directory of Social Housing in Leeds Grenville
      • Social Housing by Community in Leeds Grenville
    • Special Housing Needs
    • Tenant Resources
      • Asbestos Management Program
      • Community Programs and Resources
      • Drinking Water Quality Management System
      • Ending Your Tenancy
      • Eviction Prevention / Landlord Tenant Board
      • Garbage and Large Item Disposal
      • Maintenance Requests / After Hours Emergencies
      • Rent and Subsidy Information
      • Submit a Concern
      • TenantHandbook.pdf
      • Who to Call in Housing?
      • Your Home
    • Housing
  • Truth and Reconciliation
    • Truth and Reconciliation - Key Dates
    • Truth and Reconciliation - Resources
  • Utilities
    • Gas
    • Hydro
    • Telecommunications
    • Water and Sewer
  • Volunteer

Homelessness Forms

Snowfall

Quick Links

  • Construction Projects
  • Events Calendar
  • Housing
  • Maps and GIS
  • Pay A Fine
  • Report an Issue
  • Social Housing
  • Submit a Notice of Intention to Appear - Traffic Fine
  • Submit Application for Extension to Pay Fine

Forms

Document NameDescription
Homelessness Prevention Benefit Fact Sheet PDF - 136 kb
Homelessness Prevention Benefit Application PDF -  178 kb
Subscribe to this Page

phone icon Contact Us

iCreate Base Site Logo

© 2023 United Counties of
Leeds and Grenville
25 Central Ave. W., Suite 100, Brockville, ON, K6V 4N6
Toll-free: 1.800.770.2170
Telephone: 613.342.3840
Fax: 613.342.2101

AccessibilityFreedom of InformationA to Z Services2Big4EmailLegal NoticeFeedbackUKG Staff TrainingUKG Pro Workforce Management
By GHD Digital
  • Services
    • A-Z Services
    • Accessibility
    • Agendas, Minutes and Video
    • Child and Youth Programs
    • Community Safety and Well-Being Plan
    • COVID-19
    • Education & Training
    • Emergency Services
    • Employment Centres
    • View All...
  • Explore
    • About The Counties
    • Business Directory
    • Eat and Drink
    • Events Calendar
    • Limerick Forest
    • Maps and GIS
    • Plan Your Trip
    • See and Do
    • Stay
    • View All...
  • Business
    • Available Lands and Buildings
    • Bids and Tenders
    • BizPal-Business Permits and Licenses
    • Business Directory
    • Education & Training
    • Invest in Leeds Grenville website
    • Maps and GIS
    • Municipalities
    • Planning Services
    • View All...
  • Government
    • 2022 Municipal and School Board Elections
    • Accessibility
    • Agendas, Minutes and Video
    • Budget and Finance
    • Human Resources
    • Closed Meetings
    • Committees and Boards
    • Contact Us
    • Counties Council
    • View All...
  • Long-Term Care
    • Committee of Management
    • Staff Directory and Contact Information
    • Maple View Lodge
    • G. Tackaberry and Family Home: Excellence in Long-Term Care
    • Maple View Landings: Athens, Ontario Complex