Social Housing Forms

Document Name	Description
Application for Social Housing	PDF file Combined application, building selection and email consent forms
Application for Social Housing - Building Selection	PDF file Building Selection section of the social housing application form
Commercial Rental Application	PDF file Commercial rental application
Consent to Email	PDF file Email consent form
Employment Verification	PDF file For tenants that are self-employed
Guide to Self-Employment - Allowable Deductions	PDF file Guide to allowable deductions for self-employed tenants
Homelessness Prevention Benefit Application Form	PDF file Application form for this benefit
Homelessness Prevention Benefit Fact Sheet	PDF file Information on this benefit and how to apply
Homeownership Application	PDF file Application form for the Homeownership program
Homeownership Fact Sheet	PDF file Fact sheet outlining program requirements and eligibility
Household Budget Sheet	PDF file Tool to assist with calculating monthly budget
Housing Allowance Application Form	PDF file Application form for the Investment in Affordable Housing (IAH) for Ontario Housing Allowance Application form
Introduction to Rent Supplement Program Brochure	PDF file Information for landlords who are interested in participating in the United Counties of Leeds and Grenville Rent Supplement Program for social housing
Market Rent Housing Application	PDF file Application form for use with market rent properties in the Housing Department
Monthly Income and Expense Report for Self-Employed Tenant	PDF file Reporting form for self-employed tenants
Notice of Termination - N9	PDF file Form to be submitted when ending tenancy
Ontario Priorities Housing Initiative (OPHI) Housing Allowance Application form	PDF file Application form for the Ontario Priorities Housing Initiative (OPHI) application form
Ontario Priorities Housing Initiative (OPHI) Information Sheet	PDF file Information on the Ontario Priorities Housing Initiative (OPHI)
Ontario Renovates Application Form	PDF file Application to apply for the Ontario Renovates program
Ontario Renovates Fact Sheet	PDF file Additional information about the Ontario Renovates program
Overhoused Acknowledgement Form	PDF file Used to determine occupancy standards
Powered Mobility Device - Registration and Responsibilities	PDF file Form required for completion if a powered mobility device is required
Pre-Authorized Payment Agreement Form	PDF file This form is to be used for automatic withdrawal of rent from your bank account
Record to Support Special Priority Request	PDF file This form must be completed to be considered for a special priority request
Rent Bank Application Form	PDF file Application form for the Rent Bank program
Rent Supplement Landlord Application	PDF file Application form for landlords interested in the rent supplement program
Request for Additional Key-FOB	PDF file Use this form to request an additional key or FOB
Request for Alterations	PDF file This form is to be used when requesting to perform alterations to your unit
Request for Internal Transfer	PDF file This form is used to request a transfer within Public Housing
Request for Special Priority	PDF file Application form to request special priority for the subsidized housing waitlist
Request to Install an Air Conditioner	PDF file This form is to be used to request permission to install an air conditioner
Review Request	PDF file This form is to be used to request a review of a decision
Smoke-Free Complaint Log	PDF file This form is to be used if your wish to make a complaint regarding smoking on premise
Surrendering Rights to Lease	PDF file Document to be submitted when one member of a joint tenancy vacates the unit
Tenant Handbook	PDF file Information for tenants living in Leeds Grenville social housing
Verification of Disability or Medical Condition Form	PDF file This form is used to determine the appropriate accommodation for your tenancy
Verification of Income and Assets	PDF file Reporting form

Housing Department
Community and Social Services Division
25 Central Avenue West
Suite 200
Brockville, ON K6V 4N6

Telephone: 613-342-3840
Toll Free: 1-800-267-8146
Fax: 613-342-8908
Email Us