Metro Vancouver Housing Corporation | Pre-application form

Agreement
Applicant Information
Co-Resident & Dependents
History & Preferences
Submit

Agreement

METRO VANCOUVER HOUSING CORPORATION

MARKET TENANT APPLICATION FORM

Please note that it takes up to thirty days for MVHC to process your application form. MVHC will not process incomplete applications. Tenants and other occupants who fail to provide required information to MVHC or who provide false or misleading income and occupancy verification information are ineligible for housing and/or rent assistance. MVHC may also take whatever steps are available at law to end the tenancy and/or recover monies paid to the tenant or other occupant, as a result of the tenant’s failure to provide required information or if they provide false or misleading information to MVHC.

If you have any questions about completing this form, please contact MVHC by email at housing.inquiries@metrovancouver.org, by telephone at 604‐432‐6300.

I agree with the Terms and Conditions.

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Applicant Information

First Name *

Last Name *

Birth Date * (MM/DD/YYYY)

Gender *

Street Address *

Apartment Number

City *

Province *

Postal Code *

Home Phone Number * (e.g. 604-555-6666)

Work Phone Number

Cell Phone

Email * (Email is required for confirmation)

Income

Income: Tenants, applicants and other occupants must provide proof of income. Please check off which of the following apply to you. Please ensure you have the applicable documentation available to provide at a future date.

NOTICE OF ASSESSMENT FOR CURRENT YEAR from Canada Customs and Revenue Agency (CCRA) for all occupants 19 years and older (if you do not have this document, contact CCRA at 1-800-959-8281

AND

EMPLOYED, provide copies of three current consecutive pay stubs which show your gross income and deductions

SELF-EMPLOYED, provide copy of Statement of Business Activities and Income Tax Return

OTHER INCOME (e.g. EI, pensions, Ministry benefits)

Income Source:

Income Source (job, EI, pensions, etc.)

Gross Monthly Income

$

Health & Mobility

Do you have problems with stairs?

Do you use a wheelchair?

Do you use a scooter?

Do you have any other health conditions or disabilities?

NOTE: MVHC may require you to provide additional documentation, such as a doctor's note, about the health condition or disability and how it affects your housing needs.

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Co-Resident & Dependents

List all household members, excluding yourself.

Relationship to applicant *

Remove this person

First Name *

Last Name *

Birth Date * (MM/DD/YYYY)

Gender *

Does this person live with the applicant full time right now?

Housing history

Has this adult lived with you for less than two years?

If yes, please list their last three landlords' information:

Rental Address (street and city)	From (MM/DD/YYYY)	To (MM/DD/YYYY)	Name of Landlord	Landlord's Phone #	Reason for leaving

Income

Income: Tenants, dependents and other occupants must provide proof of income. Please check off which of the following apply to you. Please ensure you have the applicable documentation available to provide at a future date.

NOTICE OF ASSESSMENT FOR CURRENT YEAR from Canada Customs and Revenue Agency (CCRA) for all occupants 19 years and older (if you do not have this document, contact CCRA at 1-800-959-8281

AND

EMPLOYED, provide copies of three current consecutive pay stubs which show gross income and deductions

SELF-EMPLOYED, provide copy of Statement of Business Activities and Income Tax Return

OTHER INCOME (e.g. EI, pensions, Ministry benefits)

Income Source:

Income Source * (job, EI, pensions, etc.)

Gross Monthly Income *

$

Health & Mobility

Does this dependent have problems with stairs?

Does this person use a wheelchair?

Does this person use a scooter?

Does this person have any other health conditions or disabilities?

NOTE: MVHC may require you to provide additional documentation, such as a doctor's note, about the health condition or disability and how it affects your housing needs.

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Additional Information

Are you or any other occupant party to a child custody agreement or subject to a custody order?

If yes, please attach a copy with your application.

Do you expect the number of people living with you to change in the next 12 months?
(For example, because of pregnancy, family joining, family leaving, child in care)

Housing Preference

Smoking: Please note that many Metro Vancouver Housing sites are transitioning to smoke-free status - You may be asked to sign a No-Smoking Tenancy Agreement Amendment.

I understand that I may be asked to sign a No-Smoking Agreement.

Preferred unit size

Note: MVHC follows the national occupancy standards for unit size. However in some circumstances, other preferences can be accommodated.

Do you have any pets?

If yes, please provide the following information:

Type of Pet	Primary Breed	Secondary Breed	License or ID Number	Gender	Age	Approximate Adult Weight

Preferred Building

Before completing, please consider which site offer the community and unit type you are looking for. View list of our housing sites

Housing History

Have you previously been a tenant of MVHC (formerly the Greater Vancouver Housing Coporation or "GVHC")?

Please provide information on your last three landlords: (must include a minimum of one landlord to be complete):

Rental Address (street and city)	From (MM/DD/YYYY)	To (MM/DD/YYYY)	Name of Landlord	Landlord's Phone #	Reason for leaving

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Declaration & Agreement

The Applicant and all adult household members (anyone age 19 and older) must agree to the following:

I declare that:

This is my application and/or verification form; and
All the information in it is correct and complete to the best of my knowledge.

In accordance with the Freedom of Information and Protection of Privacy Act ("FOIPPA") and/or Privacy Act, I authorize:

MVHC to make enquiries to verify the information given in this form;
MVHC to receive and exchange credit and other information about me with credit bureaus to help assess my qualification for housing and/or rental assistance;
MVHC to conduct reference checks, criminal record check and/or court check and search of websites in the public domain;
any person, corporation, social or government agency, including but not limited to ICBC, Human Resources Development Canada, Veteran’s Affairs Canada, the Canada Pension Plan and the British Columbia Ministry responsible for income assistance, to release my financial and medical information to MVHC including, but not limited to information from my CPP disability pension, Persons with Persistent Multiple Barriers or Person with Disabilities applications, if applicable, and to discuss that information with MVHC staff so that MVHC may assess my qualification for housing and/or rent assistance;
Canada Revenue Agency (“CRA”) to verify, release and discuss my income, assets and other taxation information with MVHC staff so that MVHC may assess my qualification for housing and/or rent assistance; and
as per section [33.1(1)(i)] of FOIPPA, MVHC to exchange personal information about me or adult members of the household with a collection agency for the purposes of collection of outstanding amounts related to my tenancy.

I understand and agree that:

It is my responsibility to tell MVHC in writing about any changes to the information given in this form and to provide MVHC with supporting materials as may be requested;
I must qualify for MVHC residential housing by way of income, occupancy (as determined by National Housing Standards), age (for designated seniors' units) and/or disability (for designated units); and
Should circumstances change during my tenancy such that I cease to qualify for housing with MVHC, then MVHC may terminate my tenancy with 2 months written notice.
Metro Vancouver Housing Corporation ("MVHC") is a public housing body as defined in the Residential Tenancy Act. MVHC’s rental units are subsidized rental units as defined in the Act and proposed tenants and other occupants are required to demonstrate that they meet eligibility criteria related to income, number of occupants, health or other similar criteria before MVHC will enter into a tenancy agreement.
Tenants are required to provide MVHC with an income verification statement, once a year on MVHC’s request and/or immediately when there is a change in the annual income of the tenant or any occupants who are age 19 or older and/or when there is a change in household composition.
Processing times for applications will vary and MVHC will not process incomplete applications. Tenants and other occupants who fail to provide required information to MVHC or who provide false or misleading income and occupancy verification information are ineligible for housing and/or rent assistance. MVHC may also take whatever steps are available at law to end the tenancy and/or recover monies paid to the tenant or other occupant as a result of the tenant’s failure to provide required information or if they provide false or misleading information to MVHC.

I agree.

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