Fillable Subsidized Housing General Information Application 2 How t (City of Toronto)

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Subsidized Housing General Information Application 2 How t (City of Toronto)

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Application
Subsidized Housing
General Information
1 – Make sure you are eligible to apply:
• You are at least 16 years and able to live
independently (with our without supports).
• You and family members living with you can
prove status in Canada as one of the following:
Canadian citizen, refugee or refugee claimant,
permanent resident of Canada or have applied
to become a permanent resident.
• If you have lived or currently live in social
housing in Ontario the following must be true
for you and any family members living with you:
o You have not been found guilty of a
rent-geared-to-income related offence
over the past two years.
o You do not owe money to Social
Housing Providers, or have a repayment
plan to pay back the amounts.
! If you own a residential property you must
sell the property, or your share in it, within
six months of moving into subsidized
housing. If you fail to do so, you may not
receive an offer of housing.
3 – Priority access
• If you have experienced domestic abuse or
human trafficking, or if you are a terminally ill
patient who has less tha
n two years to live, you
may be eligible for priority access.
• To apply you must submit additional
applications and supporting information. Please
see the website for more information:
www.toronto.ca/accesstohousing
2 – How t
o submit an application:
• Fill-out the application form. You and family
members who are 16 years and older must
sign the application.
The easiest and fastest way to apply is
online at: www.toronto.ca/accesstohousing
• Gather
proof of status in Canada for you and
family members living with you.
• Mail or drop-off the signed and completed
paper application form in person, together with
status documents for you and family members
living with you at:
Access to Housing, 176 Elm Street,
Toronto, Ontario M5T3M4
! To avoid delays in the processing of your
application and access to service make
sure to send us a completed form and all
the required supporting documentation.
4 – Other information
• There are also local access rules benefiting
those who are experiencing homelessness,
separated families, newcomers to Canada
who are homeless, and youth who are 16 or
17 years old at the time of applying. Please
see the next page for more information.
• Once a household is made eligible for RGI,
they can choose where they like to live, apply
for special needs accommodation, and take
other next steps. You can find more
information on the next page of this
application.
23-0174 2018-05
Page 1 of 6
Application
Subsidized Housing
Next Steps & Important Information
Once You Submit Your Completed Application and Proof of Status Documents. If you are eligible,
you will be added to the waitlist and receive an acknowledgement letter and an application number. From
there you may take a number of next steps, listed below.
Choose Area of Preference. You can choose where to live in Toronto using our online update system. A
list of buildings can be found on our website.
Declare and Verify Special Circumstances. You may be able to obtain priority access to housing.
Abuse. If you are a victim of domestic abuse or human trafficking you can apply for the Special Priority
Program. Please see the website for eligibility requirements, and to find out how to apply.
Terminal Illness. If you are a terminally ill patient with less than two years to live, you may be eligible for
priority access to subsidized housing. To learn more and how to apply see City of Toronto's website.
Homelessness. Please contact us if you are living in a shelter, or on the streets. You must provide a letter
from the shelter to verify your stay, or a letter from a community agency to verify your living circumstances.
Information on services for those experiencing homelessness is available at:www.toronto.ca/homelesshelp
Separated Families. If you are separated from your children by the Children's Aid Society (CAS) because
of lack of adequate housing, please provide a letter from CAS explaining the circumstances.
Express and Demonstrate Special Needs
Wheelchair Accessible & Modified Unit. You may demonstrate that you need to live in a wheelchair
accessible building (e.g., ramps, automatic doors/doorways).
You may be eligible for a modified unit. These units are reserved for applicants who are physically disabled
and in a wheelchair on a full-time basis. Modifications may vary by unit and can include features such as
grab bars, lowered countertops, and wider doorframes.
Additional Bedroom. You may request an additional bedroom if you require overnight care from a
caregiver. In some cases medical equipment may also qualify you for an additional bedroom.
To request a modified unit, or an additional bedroom, you and your physician must complete a separate
form. To access the form and for more information please visit City of Toronto's website.
The City of Toronto may ask for other supporting documentation, such as court orders, when a member of
the household has shared-custody or access rights to a child, and is requesting an additional bedroom for
that child. Please see City of Toronto's Occupancy Standards
for more details.
Keep in Contact. Keep y
our application up to date.
You have to keep in touch with Access to Housing at least once a year and report any changes to your
address, phone number, family members' information, and income. Failure to do so may result in the
cancellation of your application.
If any household members are expecting children, you have to provide the Birth Certificate or Statement of
Live Birth to add the child(ren) to your application.
23-0174 2018-05
Page 2 of 6
Application
Subsidized Housing
Contact Information Office Use: #
I. Main Applicant Information
P
lease provide your first and last names as it appears on your status ID document
.
F
irst Name Last Name
I Identify My Gender As Date of Birth (yyyy-mm-dd)
yyyy
mm
dd
Choose an item.
/ /
My Status in Canada Is Choose an item.
Status may be one of the following: Canadian Citizen, Permanent Resident (PR) of Canada, Applied for
Canadian PR; Refugee; or, Refugee Claimant.
My Proof of Status Document Is Choose an item.
For a full list of acceptable IDs, please see City of Toronto's website. The list includes documents such as
Birth Certificate, Citizenship Card, PR Card, Refugee approval documents with valid expiry dates.
Mailing Address (please provide a full and safe mailing address so we can send you information directly)
Street Number Street Name Suite/Unit Number
Postal Code City/Town Province
Current Address (if different from mailing address above)
Street Number Street Name Suite/Unit Number
Postal Code City/Town Province
Telephone Number Email Address (e.g., name@email.com)
Answering the following voluntary, self-identification question informs the design of programs and services
that serve the Indigenous population. The answer will not directly impact an individual or household's
access to RGI assistance.
1. A
re you indigenous
?
☐ YES
☐ NO ☐ Prefer not to answer
23-0174
2018-
05
Page 3 of 6
Choose an Item
Choose an Item
Choose an Item
Application
Subsidized Housing
Contact Information
II. Secondary Contact Information
B
y providing a secondary contact, you are authorizing the release of personal information about your
application to the alternate contact and/or the Agency you identify.
Alternate Contact Name (First, Last)
Relationship to the Main Applicant
Agency/Shelter Name (if applicable)
Address and Telephone Number:
Street Number Street Name Apt/Unit Number
Postal Code City/Town Province
Telephone Number
Current Housing Questionnaire
Are you living in subsidized housing?
☐ YES
☐ NO
I
f you are living in a shelter or on the streets, let us know and verify your living circumstances. Please see
the last page of this application under Next Steps & Important Information.
If you need access to housing to flee domestic abuse or human trafficking, please see the Special Priority
Program on our website to learn more about eligibility and how to apply.
23-0174 2018-
05
Page 4 of 6
Application
Subsidized Housing
Household Information – Please Complete The Table Below
Income
By reporting your income, Access to Housing can determine if there are other housing benefits and services that meet your need.
Please provide your yearly income before taxes, and the income of each member of the household who is 16 years or older, as reported on
Line 150 of the latest Notice of Assessment (NOA) document, issued by the Canada Revenue Agency. Children of the household who are
full-time students [at a primary or secondary school, or a post-secondary institution] do not need to report income. You can find more
information about reporting income on City of Toronto's website.
! You need to have income to receive RGI assistance. When you receive an offer of housing you will be required to provide proof
of income. If you do not have income, you would be required to seek income (e.g. Ontario Works).
First Name, Last Name
Relationship
to Main
Applicant
Date of Birth
(yyyy/mm/dd)
Status in
Canada
Gender
Identity
Yearly
Income
Before Tax
Main Income
Source (Choose
one or more)
Indigenous
Self-ID
(Check if
Yes)
1- Self
yyyy
mm
/ /
dd
Choose an
item.
Choose an
item.
$ Choose an it
em.
☐
2-
yyyy mm
/ /
dd
Choose an
item.
Choose an
item.
$ Choose an it
em.
☐
3-
yyyy mm
/ /
dd
Choose an
item.
Choose an
item.
$ Choose an it
em.
☐
4-
yyyy mm
/ /
dd
Choose an
item.
Choose an
item.
$ Choose an it
em.
☐
5-
yyyy mm
/ /
dd
Choose an
item.
Choose an
item.
$ Choose an it
em.
☐
23-0174 2017-04 Page 5 of 6
Choose From Drop down
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Application
Subsidized Housing
Collection, Consent and Declaration – Household Members 16 Years or Older Must Sign
I/we understand that:
• This information is collected, under the legal authority of the City of Toronto Act and the Housin
g
Services Act, to permit City of Toronto and its authorized affiliates to determine initial eligibility for
hous
ing accommodation, rent-geared-to-income (RGI) assistance, and other related purposes
,
and
to continue to monitor, review and update eligibility for service
s
• City of Toronto will create and share with Housing Providers a file of personal information relating
t
o this application, housing or tenancy purpos
es
• T
o verify the content of the application, City of Toronto may be required to disclose or share t
he
c
ontent with other persons, third parties or agenci
es
• B
y providing a secondary contact, you are authorizing the release of personal information abou
t
y
our application to, and receipt of offers of housing by this contac
t
I
/we declare that everything in this application is correct and complete. If information is determined to be
inaccurate or false, City of Toronto or the Housing Provider may cancel this application and disqualify the
household from accessing services
I/we declare that the following is true:
• There are no outstanding deportation, departure or exclusion orders against household member
s
• W
ithin the past two years, no household member has been found guilty in a court of law or at t
he
O
ntario Rent Tribunal of an offence related to RGI assistanc
e
• No hous
ehold member owes money to a Social Housing Provider in Ontario without a curre
nt
r
epayment agreement that is in 'good standin
g'
I
/we understand that only the people identified as members of this household on this application may live
with us in subsidized housing, and to remain eligible for RGI assistance, all household members must:
• Inform City of Toronto of any changes to my/our contact information or housing requirements; and
i
f applicabl
e,
• P
ursue income from all sources, including Ontario Works, Support Payments, Employm
ent
I
nsurance or any pension or support payments required under a sponsorship agreement;
and
• M
ake arrangements to pay back money owed to a Social Housing Provider in Ontari
o.
1 – Main Applicant Name (First, Last) Main Applicant Signature
yyyy mm
dd
/ /
2 – Family Member Name (First, Last) Signature
yyyy
/
mm
/
dd
yyyy
/
mm
/
dd
yyyy
/
mm
/
dd
yyyy
/
mm
/
dd
3 – Family Member Name (First, Last) Signature
4 – Family Member Name (First, Last) Signature
5 – Family Member Name (First, Last) Signature
Shelter, Support & Housing Administration collects the personal information on this form together with the
corresponding documents under the legal authority of the City of Toronto Act, S.O. 2006, Ch. 11, Schedule A,
s.136(c) and the Housing Services Act, 2011, S.O. 2011, c. 6, Schedule 1, ss 13, 44 and 60. The information is us
ed
t
o determine initial and ongoing eligibility for RGI housing, other housing benefits and programs administered by t
he
C
ity of Toronto, and other consistent purposes not prohibited by law. Questions about this collection can be direct
ed
to P
roject Manager, Access to Housing, 176 Elm Street, Toronto ON, M5T 3M4 or by telephone at 416-338-88
88.
23-0174 2018-05
Page 6 of 6
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Completed 27 September 2021

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