PROPERTY STANDARDS

Part 1
Property Information

Property Address:*  
(ie. Street / Lot & Concession / Emergency Number)

Unit or Apartment Number:    

City / Town / Township / Village:*  

Tenant Information

Name of Tenant:*    

E-mail:                    

Mailing Address:*     

Unit or Apartment Number:    

City / Town / Township / Village:*  

Postal Code:*          

Phone Number Daytime:    Evening:

Fax Number:           

Landlord / Owner Information

Name of Landlord / Owner:*   

E-mail:                   

Mailing Address:      

Unit or Apartment Number:     

City / Town / Township / Village:     

Postal Code:           

Province / State:     

Country:                 

Phone Number Daytime:   Evening:

Fax Number:           

Part 2
Background Information

Does the problem affect just your unit or other areas in the building?*
My Unit                 Just other areas in my building         Both

In what type of building do you live?
House                           Rooming House              Apartment
Trailer                           Townhouse                    Mobile Home
Land-lease Community   Condominium
Basement Apartment      Other:

Generally, where are your maintenance problems?
(Check all that Apply)
Roof             Basement           Bathroom        Living Room
Kitchen         Bedroom            Hallways          Yard
Other

Have you informed your landlord about the problems?
Landlord informed:  In writing       Verbally       Not been Informed

Part 3
Details of Maintenance Problem(s)

Please describe the maintenance problem you are having and where it is located.*

Be as specific as possible. (e.g. Structural, Plumbing/Drainage, Electrical, Heating/Ventilation/Mechanical, Lighting, Safety/Security, General Maintenance, Other)  Attach file if necessary.

Attachment (if required):  

Part 4
Authorization

I certify that the above information is accurate and true.

Name:*

Email Address:
(if you would like to receive confirmation)

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