CASA P.O.W.
Tenant Form


Instructions to Potential Tenants: Please submit online by Submit Form button or print and fax out form thru community center, library, shelter or drop-in agency to tel/fax: 416 203 6909. For appointment, call and leave your name and number, or you can submit it in person. For our records, we ask for photo i.d. to photocopy. Select a vacancy in our listings, or 'Renters News' and we will call on your behalf to see if they will work with us. We liase between properties and tenants. Also, after moving in, you can make extra money by being a Referral Agent or Home Associate!
Note: We charge no direct fees to tenants on welfare. But from the first and last months rents, for a full year's tenancy, our Agency gets a placement fee from the Property when tenants move in. And to working people, we charge a non-refundable viewing/processing fee and a placement fee. Please see Fees.
PERSONAL INFORMATION
I agree to release personal information below to CASA P.O.W. Project for purpose of tenancy.
Name Signature
Telephone Email
Address
ODSP OW EI Pension
Loan/Grant Other Work Business
Co-Tenants
Relationship
SPACE INFO
Apartment Room House Townhouse
Rent Affordable Utilities Included?
Preferred Locations
Willing to Share? If yes, select from others waiting, or your own friends.
Notes & Tips
PAYMENT
I agree to direct rent payment from Welfare or Bank to Property and will sign forms at the office or bank.
Government Bank Chq/Order Cash
CONTACT INFO
Housing Worker Telephone
Case Worker Telephone
Welfare Office Address
Telephone Fax
In Emergency Telephone
Reference Telephone

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