Windsor Essex County Housing Application printable pdf download

Central Housing Registry – Windsor Essex County

Providing co-ordinated access to social housing in our communities

2470 Dougall Avenue, Unit 6, Windsor, ON

N8X 1T2

Phone: (519) 254-6994

Fax: (519) 254-9166

E-Mail:

Section 1 - Information About Applying for Subsidized Housing

General

1. There are four sections to this Application as follows: Section 1 – Information About Applying for Subsidized

Housing, Section 2 – Housing Application, Section 3 – Declaration and Consent and Release, and

Section 4 – Location Preference Sheet.

2. All applicants are required to provide the following for all members of the household listed on the application to

assist the Central Housing Registry – Windsor Essex County (CHR-WEC) in determining eligibility for

subsidized housing:

a. Verification of Status in Canada (example – birth certificates / immigration documents)

b. Copy of your Social Insurance Card (Optional)

c. Other verifications and/or documents based on individual circumstances upon request of the CHR-

WEC for the purposes of verifying eligibility

NOTE: Special Priority RGI household member(s) are NOT required to pursue the specified document(s) if the

pursuit of the document(s) will place member(s)’ safety at risk. If the Central Housing Registry – Windsor

Essex County is satisfied that the household or a third party is unable to provide information or a document,

the CHR-WEC shall not require the household or the third party to provide that information or document.

All members of the household must report any change in the information provided in this application to the

Central Housing Registry – Windsor Essex County in writing within 30 calendar days of the change occurring

(i.e. change of address, phone number, household size, type or amount of income). Failure to report changes

may result in the cancellation of your application and removal from the Waiting List and if housed,

cancellation of subsidized rent.

FILLING OUT THE FORM

1. Carefully complete, sign where provided for and submit the completed application with required

documentation. Ensure that a completed Location Preference Sheet accompanies this application.

2. Print all information in ink.

3. Complete all sections and submit to one of the addresses below.

Before signing the application form, please read and understand the Declaration and Consent and Release

section and make sure the application is complete. The application must be signed by all household members

16 years of age or older or by their approved designate

(This does not include dependent household

members.)

5. For Co-operative Housing developments, please also complete page 11.

NOTE: Incomplete Applications cannot be assessed for eligibility and will be returned for completion.

Submit the completed application and documentation to:

CENTRAL HOUSING REGISTRY – WINDSOR ESSEX COUNTY

2470 DOUGALL AVE., UNIT 6

15C TALBOT ST. NORTH

Windsor, Ontario N8X 1T2

Essex, Ontario N8M 1A5

Ph. 519-254-6994

Ph. 519-776-4631 or 1-800-265-6947

Fax 519-254-9166

Fax 519-776-5510

Email:

CHR APPL

2013-03-13

VER 1.1

1 of 11

Windsor Essex County Housing Application

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