Fillable #RTB- 42T Tenant Request to Amend a Dispute (Camosun College)

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#RTB- 42T Tenant Request to Amend a Dispute (Camosun College)

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The #RTB- 42T Tenant Request to Amend a Dispute (Camosun College) form is 4 pages long and contains:

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  • 16 check-boxes
  • 42 other fields

Country of origin: CANADA
File type: PDF

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Tenant Request to Amend a
Dispute Resolution Application
#RTB- 42T
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
Who is filing this dispute? (please select one)
I am a tenant, or I represent one
If a landlord, do not use this form (use
#RTB-42L)
Residential Tenancy Branch file # (e.g., 123456789):
Rental unit/site address:
site/unit #
street # and name
city province postal code
How to use this form:
• Read the rules on amendments outlined in Policy Guideline 23: Amending an Application for Dispute
Resolution available on the Residential Tenancy Branch website.
• This paper form must be submitted in person at a Service BC Centre that accepts RTB forms or the
Burnaby Residential Tenancy B
ranch offi ce. Do not upload this form to the Dispute Access Site.
• Provide a copy of this completed form to every respondent by registered mail, in person or to an email
address provided for service.
• This form must be served to all respondents as soon as possible and no later than 14 calendar days prior
to your hearing.
Important information about your application:
• This form is used to add a related claim or alter claims in the original application. Unrelated claims may be
dismissed, with or without leave to reapply.
• Use form #RTB-42O to change a party, remove an existing claim, or change service address
• An amendment may not be used to add another respondent. The applicant can make this request during
the hearing.
• This form cannot be used to amend an Application by Direct Request.
Form Sections
Section 1: Key Dispute Information
Section 2: Amendment Information
Section 3: Declaration
Residential Tenancy Branch
Offi ce of Housing and
Construction Standards RTB 42-T
(2021/03)
Residential Tenancy Branch
Oce of Housing and Construction Standards
#RTB-42T
Page 2 of 4
Section 2: Amendment Information
I want to change an existing monetary claim amount
New amount: $
____________________________
New amount: $
____________________________
New amount: $
____________________________
I want compensation for my monetary loss or other money
owed
I want to be paid back for the cost of emergency repairs
that I made during the tenancy
I want to dispute a rent increase that is above the amount
permitted by law
I want to reduce rent for repairs, services or facilities
agreed upon but not provided
New amount: $
____________________________
Describe why you want to amend your application. Please attach a Monetary Order Worksheet.
I want to add a new monetary claim
I want compensation for my monetary loss or
other money owed
New amount: $
____________________________
I want to be paid back for the cost of emer-
gency repairs that I made during the tenancy
New amount: $
____________________________
I want to dispute a rent increase that is above
the amount allowed by law
New amount: $
____________________________
I want to reduce rent for repairs, services or
facilities agreed upon but not provided
New amount: $
____________________________
Describe why you want to amend your application. Please attach a Monetary Order Worksheet.
Residential Tenancy Branch
Oce of Housing and Construction Standards
Page 3 of 4
#RTB-42T
I want to dispute another Notice to End Tenancy that I was served and add it to my existing
$pplication for 'ispute 5esolution (select the Notice(s) that were served on you and you would like to
dispute)
10 Day Notice to End Tenancy
Two Month Notice to End Tenancy (select reason)
Landlord’s Use of Property
Tenant doesQRWqualify
for subsidized housing
One Month Notice to End Tenancy
(select reason)
Four Month Notice to End Tenancy for
Demolition, Renovation, Repair or Conversion
Cause
End of Employment
of Rental Unit
12 Month Notice to End Tenancy
(Manufactured Home Park Tenancies only)
On what date was the Notice to End Tenancy
Verved? (DD/MM/YYYY)
How was the Notice to End Tenancy served?
(Select one)
Posted on the door
By registeUHd mail
In person
In mail slot/box
By regular mail
By fax
I want to add one of the following issues to my $pplication for dispute resolution: (The claim must
be related to your previous application)
I need the Landlord to make emergency repairs for health and safety reasons that I have requested
I want repairs made to the unit, site or property that I have requested from the landlord in writing
I want to obtain an Order of Possession of the rental unit or site
I want access to the rental unit or site
I want access to required services or facilities
I want to suspend or set conditions for landlord access to the rental unit or site
I want authorization to change the locks on the rental unit or site
I want to assign or sublet and the Landlord’s permission has been unreasonable withheld
I want the landlord to comply with the Act, Regulation and/or tenancy agreement
Please describe why you would like to add claim(s) to your existing Application for Dispute Resolution.
I want to change dispute participants or dispute information and I am including form #RTB-420
unpaid rent
unpaid rent and/or utilities
By email
Residential Tenancy Branch
Oce of Housing and Construction Standards
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 one of our many Service BC Oces, listed at www.servicebc.gov.bc.ca
#RTB-42T
Page 4 of 4
Section 3: Declaration: By signing below, I certify that:
• I am the primary applicant or an authorized agent of the primary applicant; 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
click to sign
signature
click to edit
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RTB- 42T Tenant Request to Amend a Dispute (Camosun College)

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Completed 15 September 2021

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