Fillable General Information Centralized Waiting List for subsidized housing. (City of Toronto)

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General Information Centralized Waiting List for subsidized housing. (City of Toronto)

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Application
Special Priority Program (SPP)
23-0215 2021-06
Page 1 of 11
General Information
The City of Toronto’s Shelter Support and Housing Administration division manages the
Centralized Waiting List for subsidized housing. Special Priority Program (SPP) status
is reserved for individuals eligible for Rent-Geared-to-Income (RGI) assistance who are
victims of abuse or trafficking as defined below:
• “Abuse” means one or more incidents of: physical or sexual violence,
controlling behaviour; OR intentional destruction of or intentional injury to
property; OR words, actions or gestures that threaten a household member to
fear for his or her safety; and that are done by specific individuals. OR trafficking
of the member done by any individual.
• “Trafficking” means, with respect to a member of a household, one or more
incidents of recruitment, transportation, transfer, harbouring or receipt of the
member by improper means, including force, abduction, fraud, coercion,
deception and repeated provision of a controlled substance, for an illegal
purpose, including sexual exploitation or forced labour.
The Housing Services Act, 2011, Ontario Regulation 367/11, Section 52 - 58 (“Special
Priority Household Category”), gives priority ranking to social housing applicants and/or
tenants whose personal safety, or whose family’s safety is at risk because of abuse by
an individual with whom they currently or recently lived with, or who is sponsoring the
member as an immigrant. This Special Priority is to enable the household to separate
permanently from the abuser. Social housing applicants are also eligible for Special
Priority if a member of the household is being or has been trafficked.
If you are eligible for Special Priority status, you will be ahead of non-priority applicants
on the Centralized Waiting List, but you will still be behind Special Priority applicants
who applied before you. We cannot tell you how long it will take to get housing. The
amount of time it takes to house a Special Priority applicant depends on where you
hope to live and the type of unit you need.
Special Priority Program (SPP) Application
In order to qualify for Special Priority status, you must:
• be eligible for Rent-Geared-to-Income assistance.
• meet the criteria for either domestic violence, sponsorship abuse or human
trafficking
Domestic Violence and Sponsorship Abuse Criteria
• You are living with someone who is abusing you or your children or you stopped
living with them in the last three months. In limited circumstances, we may
consider your application after three (3) months.
• You are a sponsored immigrant and your sponsor is abusing you or your
children.
This document contains both information and form fields. To read information, use the Down Arrow from a form field.
Application
Special Priority Program (SPP)
23-0215 2021-06
Page 2 of 11
Human Trafficking Criteria
• a member of the household is being or has been trafficked
Who Can Apply
• you are experiencing abuse or human trafficking
• you are an existing household member on the RGI Centralized Waiting List or a
new applicant
• you are living in RGI housing experiencing “abuse” or “human trafficking”
How do I Apply for SPP Status?
To apply, you must:
• complete and submit a Special Priority Application which can be downloaded
from the City's website at www.toronto.ca/accesstohousing
• print, sign and date the application form
If you are currently on the RGI Centralized Waiting List, you must :
• include your application code on the SPP application and send it by mail to
Access to Housing
If you are currently an RGI tenant, you must:
• complete the SPP application and send it by mail to Access to Housing
If you are not currently on the RGI Centralized Waiting List you must:
• complete an RGI Application in the MyAccesstoHousingTO Applicant Portal,
accessible on the City's website at toronto.ca/accesstohousing
• Upload the completed SPP application in MyAccesstoHousingTO
Mail the completed Special Priority Application and supporting documentation to:
Access to Housing, 176 Elm St, Toronto, ON M5T 3M4.
You must have someone verify your claim of human trafficking or abuse. Normally, this
person is a professional working with you because of the human trafficking or abuse.
Note: A mandatory one-page Letter of Support is required from anyone not affiliated
with a Violence Against Women and/or Human Trafficking Agency or City of Toronto
Shelter Program and must be on official letterhead, signed and dated.
The following is required to complete the Special Priority application:
• Part A: Applicant Consent and Declaration
• Part B: Declaration of Human Trafficking or Abuse
• Part C: Applicant Contact Information
• Part D: Proof of Joint Residency with the Abuser (not required for human
trafficking)
•
Part E: Verification Record completed by a qualified professional
Application
Special Priority Program (SPP)
23-0215 2021-06
Page 3 of 11
A. Applicant Consent and Declaration
Please complete this section if you are the applicant. If you, as the applicant, are unable
to sign, the consent may be signed on your behalf by a person who is authorized.
I, __________________________________________ (First, Last Name - Print) hereby
authorize and consent to the completion, submission and disclosure of information to
the City of Toronto and have provided all of the required documents for the purposes of
verifying eligibility under the Special Priority category.
I confirm that I have obtained consent to disclosure by the abused or the trafficked
member or a person authorized to consent on their behalf, if I, as the applicant, am
neither of these individuals.
I declare the information provided is correct, accurate and complete.
I acknowledge that the information I have provided on this form will be used by the
City of Toronto to determine my eligibility for Special Priority status. I consent to
disclosure of my personal information by the City of Toronto to third parties for the
purposes of determining my eligibility for Special Priority status.
I understand that if any of the information I provide is determined to be inaccurate,
the City of Toronto, or the housing provider may cancel my application.
Signature
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signature
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Application
Special Priority Program (SPP)
23-0215 2021-06
Page 4 of 11
Part B: Declaration of Human Trafficking or Abuse
This Declaration is completed by the applicant for Special Priority status. If you
are applying because of human trafficking, complete Section 1. If you are
applying because you have been abused, complete Section 2.
First Name
Last Name
Application Code
Section 1: Declaration of Human Trafficking
☐ I am being or have been trafficked by (name if available):
☐ I am currently being trafficked
☐ I stopped being trafficked on (approximate date):
(yyyy-mm-dd)
Signature
Date (yyyy-mm-dd)
Section 2: Declaration of Abuse
I have been abused by: Full Name (First, Last)
What is the relationship with the abuser?
☐ Intimate Partner/Spouse
☐ Child/Parent
☐ Other (please describe relationship):
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signature
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Application
Special Priority Program (SPP)
23-0215 2021-06
Page 5 of 11
☐ I am currently living with this person
☐ I have not lived with this person since (date):
☐ I have never lived with this person
☐ Canadian immigration sponsor (please attach
copy of a letter from Immigration,
Refugees and Citizenship Canada (IRCC) confirming breakdown in sponsorship).
Note: If you are a sponsored immigrant and you did not live with the abuser (your
sponsor), you may be eligible for Special Priority status and may not be required to
submit proof of living together. Please make sure that the Verification Record details
your living arrangements.
Signature Date (yyyy-mm-dd)
(yyyy-mm-dd)
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signature
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Application
Special Priority Program (SPP)
23-0215 2021-06
Page 6 of 11
Part C: Applicant Contact Information
I. How would you like us to contact you? Choose one or more options to safely
reach you.
☐ Mail
Street Number
Street Name
Suite/Unit Number
Postal Code
City/Town, Province
☐ Phone
Area Code
Number
☐ Email
III. You have the option of providing a safe alternate contact in case we cannot
reach you. We will only contact your alternate contact if we cannot reach you. When
contacting this person we will only ask that your contact tell you to contact Access to
Housing. We will not disclose any information in your application to this person.
Alternate contact: Full Name (First, Last)
Relationship to Applicant
Street Number
Street Name
Suite/Unit Number
Postal Code
City/Town, Province
Telephone
Number
Area Code
Number
Best time to call between 8:30 am to 4:30 pm (Monday to Friday)
Application
Special Priority Program (SPP)
23-0215 2021-06
Page 7 of 11
Part D: Proof of Joint Residency with the Abuser (Not Required
for Human Trafficking)
Special Priority status supports an individual, who lives or lived with an abuser and is
experiencing or did experience domestic abuse and violence, to leave the abusive
situation permanently.
To determine your eligibility you must provide proof that you live or lived with the
abuser in the last three months.
What is the address of the residence that you share/shared with the abuser?
Date moved-in together (yyyy-mm-dd)
Street Number
Street Name
Suite/Unit Number
Postal Code
City/Town, Province
Are you currently living in a Rent-Geared-to-Income unit? Yes ☐ or No ☐?
If yes, please provide the following:
Street Number
Street Name
Suite/Unit Number
Postal Code
City/Town, Province
☐ I have attached proof that I am/was living with the person who abused me.
☐ I have attached proof of sponsorship if applicable.
If you are receiving social assistance:
☐ I have attached Proof of Joint Residency with the Abuser from my Ontario
Works (OW) or Ontario Disability Support Program (ODSP) caseworker.
If you are receiving a Rent-Geared-to-Income Housing Subsidy:
☐ I have attached Proof of Joint Residency with the Abuser from my social
housing provider.
Application
Special Priority Program (SPP)
23-0215 2021-06
Page 8 of 11
If you are NOT receiving social assistance or living in RGI:
☐ I have attached Proof of Joint Residency with the Abuser showing that the
person who abused me and I lived together within the last three months.
If you are applying more than three months after separation:
☐ I have attached Proof of Joint Residency with the Abuser showing that the
person who abused me and I lived together more than three months ago. You
must also attach a one page letter that identifies the reason why you did not
submit an application for Special Priority status within the three month period.
Accepted Documentation
Provide Proof of Joint Residency with the Abuser showing that you and the person
who abused you lived together. Documents must be dated within the last three months.
You must provide at least:
• one up-to-date document with both of your names and joint address, or
• one document with your name and joint address, and one document with the
abuser’s name and joint address
Acceptable documents for proof of joint residency include:
• up-to-date lease, rental agreement or documents, or mortgage documents
• mailed property tax or utility bills, or statement from a financial institution
• most recent mailed communication from the Canada Revenue Agency (CRA)
• benefits statement from Ontario Works (OW)/Ontario Disability Support Program
(ODSP)
• driver’s license
• educational institution registration record
• insurance policy
• police report if joint residency has been confirmed
• letter from Immigration, Refugees and Citizenship Canada (IRCC) confirming
breakdown in sponsorship
Documents that do not prove joint residency include:
• documents/statements printed from a website
• documents/forms with self-declared unverified information (e.g. day care
registration)
• health card or drug prescription receipts
• declaration from a friend or family member
• phone and internet bills
If both your name and your abuser’s name do not appear on a document
together, you may provide more than one document to show you were living at
the same address at the same time.
Application
Special Priority Program (SPP)
23-0215 2021-06
Page 9 of 11
Part E. Verification Record
This Verification Record must be completed by someone who can confirm Part B:
Declaration of Human Trafficking or Abuse.
Note to person completing Verification Record:
You are being asked to complete this Verification Record to confirm that the applicant
has been a victim of: 1) human trafficking; or 2) abuse by an intimate partner,
immigration sponsor, relative or a person who is in an emotionally, physically, or
financially dependent relationship with the applicant.
You are being asked only to verify the instances of abuse and are not making a
recommendation for the applicant’s housing placement.
Note: A mandatory one-page Letter of Support is required from anyone not affiliated
with a Violence Against Women and /or Human Trafficking Agency or City of Toronto
Shelter Program and must be on official letterhead, signed and dated. The Letter of
Support must be notarized if you do not work with the applicant in a professional role,
but have direct knowledge that the applicant has been subjected to human trafficking or
abuse.
Full Name (First, Last) of person verifying
trafficking or abuse
Position/Title
Agency/Organization
Street Number
Street Name
Suite/Unit Number
Postal Code
City/Town, Province
Telephone
Number
Area Code
Number
I declare that I have reviewed the information in Part B of this application, and
(please check all that apply):
☐ My professional assessment is the applicant is a victim of human trafficking.
☐ My professional assessment is that the applicant has experienced one or more
incidents of physical or sexual violence by the person named in Part B.
Application
Special Priority Program (SPP)
23-0215 2021-06
Page 10 of 11
☐ My professional assessment is that the applicant has experienced one or more
incidents of abusive, controlling behavior by the person named in Part B.
☐ My professional assessment is that the person in Part B has intentionally
destroyed or injured the applicant’s property.
☐ My professional assessment is that the words, actions or gestures of the person
in Part B have threatened the applicant or made them fear for their safety.
☐ My professional assessment is the applicant has experienced one or more
incidents of financial abuse.
Relationship to Applicant in Part B:
I am working with the applicant around the issue of human trafficking or abuse in my
professional capacity as a:
☐ Registered Social Worker
☐ Registered Social Service Worker
☐ Police Officer
☐ Registered Mental Health Therapist or Psychotherapist
☐ Registered Nurse or Registered Practical Nurse
☐ Registered Early Childhood Educator
☐ Housing Provider
☐ Lawyer
☐ Doctor
☐ Minister of Religion
☐ Teacher/Guidance Counsellor
☐ Midwife
☐ Indigenous Leader
☐ Indigenous Elder
☐ Indigenous Traditional Person
☐ Indigenous Knowledge Keeper
License number/professional registration number (if applicable)
☐ I am not a member of one of the above professions, but I am working with the
applicant in my professional role around the issue of human trafficking or abuse. I
understand that I must have this Verification Record signed by a person
who has the authority to bind my agency or organization (e.g., executive
director, program manager)
☐ I do not work with the applicant in a professional role, but I have direct knowledge
that the applicant has been subjected to human trafficking or abuse. I
understand that I must have this Verification Record and my Letter of
Support notarized as to the truth of the records by a commissioner for
taking affidavits.
Application
Special Priority Program (SPP)
23-0215
2021-06
Page 11 of 11
Full Name (First, Last) of person completing Verification Record
Signature
Shelter, Support and Housing Administration collects personal information on this form under the legal
authority of the Housing Services Act, 2011, section 48(2)1 and Ontario Regulation 367/11, General,
section 53. The information is used to verify eligibility for Special Priority Program. Questions about this
collection can be directed to Project Manager, Access to Housing (Housing Connections), 176 Elm Street,
Toronto, Ontario, M5T 3M4 or by telephone at 416-338-8888.
Full Name (First, Last) of person who can bind agency (this can be the same
person completing the Verification Record as per the Agency's discretion)
Position/Title
Signature
Date (yyyy-mm-dd)
Agency Name
Street Number
Street Name
Suite/Unit Number
Postal Code
City/Town, Province
Telephone
Number
Area Code
Number
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General Information Centralized Waiting List for subsidized housing. (City of Toronto)

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Completed 22 September 2021

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