Fillable Landlord's Application for Dispute Resolution by Direct Request (Camosun College)

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Landlord's Application for Dispute Resolution by Direct Request (Camosun College)

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  • 10 check-boxes
  • 81 other fields

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Landlord's Application for Dispute
Resolution by Direct Request
#RTB- 12L-DR
Residential Tenancy Branch
Offi ce of Housing and Construction
Standards #RTB-12L-DR (2021/03)
Page 1 of 4
Your personal information is collected under section 26 (a) and (c) of the Freedom of Information and Protection of Privacy Act for the purpose of administering the
Residential Tenancy Act. If you have
any questions regarding the collection of your personal information, please call (604)-660-1020 in Greater Vancouver;
(250)-387-1602 in Victoria; or 1-800-665-8779 elsewhere in B.C.
Section 1: Key Dispute Information
Are you seeking resolution by Direct Request Process in relation to a 10 Day Notice you served?
No ( Do not use this form, use #RTB12L-CT)
Yes
Is the tenant still living in the rental unit?
No (Do not use this form, use #RTB12L-PT)
Yes
What was being rented?
A, home, suite, or apartment
A site in a manufactured home park
Does the tenant own the manufactured home? (if applicable) ?
No Yes
How to use this form:
• Paper forms must be submitted in person at a Service BC Centre that accepts RTB forms or the Burnaby Residential Tenancy
Branch offi ce.
• The online application is available 24/7 from any computer or mobile device: www.gov.bc.ca/landlordtenant/online
• This application requires a $100 fi ling fee.
Important information about your application:
• If you are not seeking resolution by the Direct Request Process in relation to a 10 Day Notice you served, or if the
tenant no longer occupies the rental unit/site, DO NOT use this form
• Your application will not be processed unless all required information is provided and legible and the $100 filing fee has been
received, or a fee waiver application has been approved.
• Required information includes:
• Key dispute information
• At least one issue selected
• At least one respondent with full name and service address provided
• You must submit the following evidence with your application:
• A copy of the 10 Day Notice to End Tenancy (#RTB-30) served to the tenant
• A copy of the Proof of Service Notice to End Tenancy and Written Demand to Pay Utilities (#RTB-34)
• A copy of the Direct Request Worksheet (#RTB-46)
• A copy of the tenancy agreement signed by all parties (RTB-1 including all addendums)
• The signed tenancy agreement must specify the date on which rent is due. All pages of the tenancy agreement must be
submitted. All dates, including dates of service of the 10 Day Notice to End Tenancy must be consistent on all documents
submitted with this application.
• If applicable, also include:
• Written demand letter to pay utilities when payment for utilities is required
• A copy of the Proof of Service Notice to End Tenancy and Written Demand to Pay Utilities to prove service of the written
demand to pay utilities (#RTB-34)
• A copy of all Notices of Rent Increase since the tenancy began if rent has increased
• A copy of any receipts for rent paid after the 10 Day Notice to End Tenancy form was issued
Form Sections
Section 1: Key Dispute Information
Section 2: Second Applicant Information
Section 3: Respondent Information
Section 4: Common Requests for Order(s) of Possession
Section 5: Other Landlord Issues
Section 6: Signature
Was a security deposit provided to the landlord by the tenant?
Yes
No
Amount $:
Residential Tenancy Branch
Oce of Housing and Construction Standards
#RTB-12L-DR
Page 2 of 4
Section 2: Second Applicant Information: (if applicable)
The second applicant is a(n):
Individual
Agent or Lawyer
Advocate or Assistant
first and middle name
last name
email address (for RTB use only)
contact phone number
site/unit # street # and name city province postal code
Use form #RTB-26 Schedule of Parties to include additional parties and/or a separate mailing address. Submit with this
application https://www2.gov.bc.ca/gov/content/housing-tenancy/residential-tenancies/forms/forms-listed-by-number
I am including form #RTB-26 for additional parties and/or mailing address
Primary Applicant:
(This is the main contact responsible for serving documents on all parties. The
Residential Tenancy Branch will contact this person about this dispute file)
Individual
Business
Agent or
Lawyer
Advocate or Assistant
first and middle name Last name
email address (for RTB use only)
contact phone number
site/unit # street # and name city province postal code
How does the primary applicant want to receive the Notice of Dispute Resolution Proceeding package?
By email (email address must be provided above, and you must be able to print documents)
Pick up at a Service BC Centre or the Burnaby Residential Tenancy Branch Oce during business hours
Rental Unit Address:
site/unit # street # and name city province postal code
Section 3: Respondent Information
rst and middle name(s) (include business name if applicable) last name(s)
email address (for RTB use only
contact phone number
site/unit # street # and name city province postal code
The primary applicant is a(n):
business name (if a business)
Business
business name (if a business)
Was a pet damage deposit provided to the landlord by the tenant?
No
Yes
Amount $:
Page 3 of 4
#RTB-12L-DR
Second Respondent Information: (if applicable)
rst and middle name(s) (include business name if applicable) last name(s)
email address (for RTB use only)
contact phone number
site/unit # street # and name city province postal code
Use form #RTB-26 Schedule of Parties to include additional parties and/or a separate mailing
address. Submit with this application
I am including form #RTB-26 for additional parties and/or mailing address
Section 4: Direct Request Claims
Ending tenancy and seeking an Order of Possession for the tenant to move out: (select all that apply)
• This application must include the required supporting documents for a Direct Request.
• You must complete the Direct Request Worksheet (RTB-46) providing details of rent or utilities owing, even if you are
not requesting a monetary order.
• Do not give a copy of this Application to the Respondent(s) until the Residential Tenancy Branch accepts it and you
have paid the application fee or obtained a fee waiver.
I want to recover my $100 ling fee for this application
Reason the 10 Day Notice to End Tenancy was served:
For rent only
For utilities only
For rent and utilities
When was the 10 Day Notice to End Tenancy
served?(DD/MM/YYYY)
How was the 10 Day Notice to End Tenancy served?
Seeking a Monetary Order for Unpaid Rent or Utilities
Do not make claims other than unpaid rent, utilities, and the Direct Request filing fee, late fee, NSF charges, future
rent losses, deposits, and repair costs may not be claimed through this process.
I want to recover the money for the unpaid rent and/or utilities in the amount of $
My request for a monetary amount is for
$
On the door
In person
In mail slot
Registered mail
Email
Describe why you are requesting this claim:
Is the unpaid rent (and/or utilities) only from the specified
period between March 18 to August 17, 2020?
Yes
No
If yes to above, did you issue a repayment plan to the tenant?
Yes
No
Other:
Residential Tenancy Branch
Oce of Housing and Construction Standards
#RTB-12L-DR
Page 4 of 4
• I am the primary applicant or an authorized agent of the primary applicant and that all information
that is being provided in this application is true, correct, and complete to the best of my knowledge.
• I understand it is a legal offense to provide false or misleading information and evidence to the
Residential Tenancy Branch.
• By signing this application, I have the authority to act on behalf of the applicant(s) as the primary
applicant for this dispute and that I will share all communication about this dispute with the other
applicant(s) if more than one applicant is listed on this form.
• I authorize the Residential Tenancy Branch to enter this information on my behalf.
DD/MM/YYYY
full name of primary applicant (print)
signature of primary applicant
Residential Tenancy Branch Contact Information:
Email: HSRTO@gov.bc.ca Note: Evidence cannot be submitted by email.
Website: www.gov.bc.ca/landlordtenant
Phone:
(604)-660-1020 in Greater Vancouver; (250)-387-1602 in Victoria 1-800-665-8779 - DO NOT CALL
THIS NUMBER FOR YOUR HEARING
In Person: Lower Mainland
400 - 5021 Kingsway
Burnaby, BC, V5H 4A5
Outside of Lower Mainland Visit our Service BC Offices, at www.servicebc.gov.bc.ca
Section 3: Declaration: By signing below, I certify that:
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Landlord's Application for Dispute Resolution by Direct Request (Camosun College)

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Completed 21 July 2021

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