Rental Application Form for MIKINÀK

APPLICANT 1 – PERSONNAL INFORMATION

Name(Required)

First Last

Email(Required)

Social Insurance Number (Optional)

Date of Birth(Required)

Personal Phone Number(Required)

Work Phone Number

RENTAL PREFERENCES

Please confirm you need a WHEELCHAIR ACCESSIBLE HOME(Required)

*Includes lower kitchen counter top, roll in shower and wider turning radius

Yes

No

RESIDENCE HISTORY

Present Address(Required)

Street Address City Province/Territory Postal Code

Landlord Name(Required)

Landlord Phone(Required)

Landlord e-mail

Is this shared accommodation(Required)

Yes

No

If YES, what portion of the rent and utilities did you pay?(Required)

Current Monthly Rent(Required)

Have you been at your present address for more than 2 years?

Yes

No

How many years have you been at your present address?(Required)

IF LENGTH IS LESS THAT 2 YEARS, PLEASE COMPLETE PREVIOUS ADDRESS DETAILS

Previous Address City Province/Territory Postal Code

Previous Landlord Name

Previous Landlord Phone

Previous Landlord e-mail

Lenght at Previous Address

Previous Monthly Rent

INCOME INFORMATION

INCOME VERIFICATION MUST BE PROVIDED FOR ALL HOUSEHOLD MEMBERS OVER THE AGE OF 18. REQUIRED DOCUMENTS: Proof of annual income for all applicants. Most recent Notice of Assessment from Canada Revenue Agency. If your current income is not reflected on the NOA please include 2 months’ worth of pay stubs, a pension statement or other.

Employer / Source of Income(Required)

Annual Gross Income(Required)

Have you been working for the same employer more than 2 years?

Yes

No

Lenght of employment(Required)

Previous employer / Source of Income

Previous Length of Employment

Previous Annual Gross Income

Is there a second (2nd) applicant? (any household member that are over the age of 18)(Required)

Yes

No

APPLICANT 2 – PERSONNAL INFORMATION

PLEASE NOTE: Applicants are all household members over the age of 18. To be considered, your total household income must not exceed the upper income limit for the model and type of home you are applying for.

Name(Required)

First Last

E-mail Address(Required)

S.I.N

Date of Birth(Required)

Personal Phone Number

Work Phone Number

RESIDENCE HISTORY

If you currently reside with applicant 1, it is not necessary to provide present residence history.

Address

Present Address City Province/Territory Postal Code

Landlord Name

Landlord Phone

Landlord E-mail

Is this shared accommodation

Yes

No

If YES, what portion of the rent and utilities did you pay?

Current Monthly Rent

Have you been at your present address more than 2 years?

Yes

No

How many years have you been at your present address?

Previous Address

Previous Landlord Name

Previous Landlord Phone

Previous Landlord e-mail

Length at Previous Address

Previous Monthly Rent

INCOME INFORMATION

INCOME VERIFICATION MUST BE PROVIDED FOR ALL HOUSEHOLD MEMBERS OVER THE AGE OF 18. REQUIRED DOCUMENTS Proof of annual income for all applicants. Most recent Notice of Assessment from Canada Revenue Agency. If your current income is not reflected on the NOA please include 2 months’ worth of pay stubs, a pension statement or other.

Employer/Source of Income(Required)

Annual Gross Income(Required)

Have you been working for the same employer more than 2 years?

Yes

No

Length of Employment(Required)

Previous Employer/Source of Income

Previous Length of Employment(Required)

Previous Annual Gross Income

Is there a third (3rd) applicant? (any household member that are over the age of 18)

Yes

No

APPLICANT 3 – PERSONAL INFORMATION

Name(Required)

First Last

E-mail Address(Required)

S.I.N

Date of Birth(Required)

Personal Phone Number

Work Phone Number

RESIDENCE HISTORY

RESIDENCE HISTORY IF YOU CURRENTLY RESIDE WITH APPLICANT 1 OR 2 IT IS NOT NECESSARY TO PROVIDE PRESENT RESIDENCE HISTORY

Present Address

Street Address City Province/Territory Postal Code

Landlord Name

Landlord Phone

Landlord e-mail

Is this shared accommodation

Yes

No

If yes, what portion of the rent and utilities did you pay?

Current Monthly Rent

Have you been at your present address more than 2 years? – 3

Yes

No

How many years have you been at your present address?

Previous Address

Previous Landlord Name

Previous Landlord number

Previous Landlord e-mail

Length at Previous Address

Previous Monthly Rent

INCOME INFORMATION

INCOME VERIFICATION MUST BE PROVIDED FOR ALL HOUSEHOLD MEMBERS OVER THE AGE OF 18. REQUIRED DOCUMENTS Proof of annual income for all applicants. Most recent Notice of Assessment from Canada Revenue Agency. If your current income is not reflected on the NOA please include 2 months’ worth of pay stubs, a pension statement or other.

Employer/Source of Income(Required)

Annual Gross Income(Required)

Have you been with the same employer more than 2 years?

Yes

No

Length of Employment(Required)

Previous Employer/Source of Income

Previous Length of Employment

Previous Annual Gross Income

HOUSEHOLD MEMBERS

Will there be other household members living with you(Required)

Yes

No

RESIDENT 1

Date of Birth

RESIDENT 2

Date of Birth

RESIDENT 3

Date of Birth

RESIDENT 4

Date of Birth

RESIDENT 5

Date of Birth

APARTMENT SIZE (For people with accessibility issues) – 2024 Rates(Required)

Hydro, electricity, and mandatory tenant insurance are additional costs.

Studio (For people with accessibility issues) $805 – Lower kitchen counter top and roll in shower

One bedroom (For people with accessibility issues) $1,061 – Lower kitchen counter top and roll in shower

There is currently no parking available, do you want to be put on a wait list(Required)

Yes

No

When are you available to move?(Required)

REQUIRED DOCUMENTS – THESE MUST BE SUBMITTED WITH YOUR COMPLETED APPLICATION

Government issued photo ID for all household members over 18(Required)

Health Card is not accepted

Max. file size: 50 MB.

2023 Notice of Assessment for Applicant 1(Required)

MUST include most recent Notice of Assessment from Canada Revenue Agency in addition, if your current income is not reflected on the NOA please include 2 months’ worth of pay stubs, a pension statement or other.

Max. file size: 50 MB.

2023 Notice of Assessment for Applicant 2(Required)

MUST include most recent Notice of Assessment from Canada Revenue Agency in addition, if your current income is not reflected on the NOA please include 2 months’ worth of pay stubs, a pension statement or other.

Max. file size: 50 MB.

2023 Notice of Assessment for Applicant 3(Required)

MUST include most recent Notice of Assessment from Canada Revenue Agency in addition, if your current income is not reflected on the NOA please include 2 months’ worth of pay stubs, a pension statement or other.

Max. file size: 50 MB.

Application should be signed by each applicant to be valid.

Please note: The information in this Application Form is being collected by Ottawa Community Housing Corporation operating as Propriétés Arriv Properties and will be used for the sole purpose of assessing your application for housing. Submission of this application does not guarantee you a rental.

Signature Applicant 1(Required)

Name

Signature Applicant 2(Required)

Name

Signature Applicant 3(Required)

Name

SUBMISSION DATE(Required)

We currently only have wheelchair accessible apartments available. Sign up to receive email notifications from ARRIV Properties about our affordable rental availability by checking the box below. You will receive a confirmation email to update your preferences or you can sign up at www.arriv.ca.(Required)

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Language Preference:

Please communicate with me in:(Required)

French / Français

English / Anglais

Form Complete

Thank you for your interest in our Mikinàk affordable rentals. Please press send to send us your completed form.