CASA P.O.W.
Tenant Form

Instructions to Potential Tenants: Please fill form online and send by Submit Form button or print and mail form or in person. Please call 416 203 6909 or voicemail 647 393 6909. For appointment, call and leave your name and number and type of space wanted and budget and we can find it for you. Or click on Spaces and select a vacancy in the listings, or other listings websites, and we will contact them on your behalf to see if they will work with us. We coordinate between properties, agencies and tenants. Note: No fees to tenants. New! free move in ride service for tenants with suitcases only, no furniture. Pick up from airport, shelter or hotel to property.
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.
Other Services?
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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