BC Shelter Information Form PDF Details

The Bc Shelter Information Form, formally known as Form HSD3037, serves a crucial function in facilitating the administration of housing benefits for individuals seeking assistance from the Ministry of Social Development. Designed for applicants and recipients of income assistance, disability assistance, or hardship assistance, this form is a necessary step for those requesting funds for rent and/or security deposits. It requires detailed input, including full names, client file numbers, and possibly Social Insurance Numbers, to streamline the process of obtaining financial support for housing needs. Moreover, the form doubles as a rent receipt template, providing an efficient means for applicants to prove rent payment, although it distinctly specifies its non-equivalence to a tenancy agreement under the Residential Tenancy Act. This delineation underscores the form's administrative purpose, strictly for housing and social development intentions. Upon completion, the form should be submitted to a local employment and assistance office, with a rent receipt following the initial rent payment, unless the rent is directly paid to the landlord by the Ministry of Social Development. The collection and handling of personal information disclosed in this form are governed by privacy laws, with reassurances that inquiries regarding the information can be directed to local Employment and Assistance Offices, thereby ensuring transparency and accountability in its use for administering housing assistance under relevant acts.

QuestionAnswer
Form Name BC Shelter Information Form
Form Length 2 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 30 sec
Other names shelter form bc, ministry of social services bc, shelter information form bc, hr3037 form

Form Preview Example

Form HSD3037 — Shelter Information

This form is used to provide the Ministry of Social Development with required rental information for your file. Applicants and recipients of income assistance, disability assistance or hardship assistance may use this form when requesting money to pay rent and/or security deposits.

Please complete the form by following the instructions and ensure you include your full name or the name of the primary person on your file. If you know your client file number (it begins with GA) include it in the space provided. You may also wish to provide your Social Insurance Number.

The form provides a blank rent receipt for your convenience, it can be used to provide proof you paid your rent.

This is not a tenancy agreement under the Residential Tenancy Act and is only used for administrative purposes by Housing and Social Development.

Return the completed form to your local employment and assistance office.

Ministry of Social

Development

SHELTER INFORMATION

The personal information requested on this form is collected under the authority of and will be used for the purpose of administering the Employment and Assistance Act and the Employment and Assistance for Persons with Disabilities Act. The collection, use and disclosure of personal information is subject to the provisions of the Freedom of Information and Protection of Privacy Act. Any questions about this information should be directed to your local Employment and Assistance Office.

CLIENT NAME

DATE(YYYY MMM DD)

(FOR OFFICE USE ONLY)

GA

RENTING OR INTENDING TO RENT AT THE FOLLOWING ADDRESS

SUITE NO.

STREET ADDRESS

CITY/TOWN

POSTAL CODE

MAILING ADDRESS (IF DIFFERENT)

START DATE (YYYY MMM DD) for rental of the room or rental unit

PLEASE COMPLETE EITHER A OR B:

(A) CLIENT’S PORTION OF RENTAL AMOUNT

TOTAL RENT (IF SHARED)

MARKET RENT (IF SUBSIDIZED)

$

 

PER MONTH

$

PER MONTH

$

 

PER MONTH

SECURITY DEPOSIT REQUIRED?

CLIENT’S PORTION OF SECURITY DEPOSIT

ARE UTILITIES INCLUDED IN THE RENTAL RATE?

 

 

YES

 

NO

$

 

 

 

 

YES

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

NUMBER OF ADULTS AT GIVEN ADDRESS

 

 

NUMBER OF CHILDREN

AT GIVEN

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

OR

(B) ROOM AND BOARD (MEALS INCLUDED)

$PER MONTH

Note: Cost of room and board should include costs associated with food, maintaining the room, pro-rated utilities cost, and pro-rated property tax.

LANDLORD INFORMATION

NAME OF REGISTERED OWNER OF THE LAND (PLEASE PRINT)

NAME OF LANDLORD INCLUDING PROPERTY MANAGER, AGENT (IF DIFFERENT)

ADDRESS OF LANDLORD AND POSTAL CODE

POSTAL CODE

TELEPHONE NUMBER OF LANDLORD

 

 

 

LANDLORD’S SIGNATURE

 

DATE SIGNED (YYYY MMM DD)

X

We require a rent receipt in addition to this form immediately upon payment of the first month's rent (if your rent is not paid directly to the landlord by MSD) . All information may be verified. A rent receipt is attached to this form for your convenience.

This form is for Ministry of Social Development information only and does NOT constitute a tenancy agreement under the Residential Tenancy Act.

Rent Receipt

Date:

 

 

(YYYY MMM DD)

 

 

 

 

 

 

 

 

 

Received from:

 

 

 

 

For the month of:

 

 

Rent $

 

 

 

Room and Board $

 

 

 

Security Deposit $

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Landlord’s Signature

 

 

 

 

 

 

SD3037(10/06/16)

ORIGINAL - FILE COPY - CLIENT

How to Edit BC Shelter Information Form Online for Free

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With regards to the blank fields of this specific form, this is what you need to know:

1. It's very important to fill out the intent to rent accurately, so be careful while filling in the sections comprising these particular blank fields:

Writing section 1 of shelter verification form bc canada

2. Right after this part is done, proceed to type in the relevant details in all these - LANDLORD INFORMATION, NAME OF REGISTERED OWNER OF THE, NAME OF LANDLORD INCLUDING, ADDRESS OF LANDLORD AND POSTAL CODE, POSTAL CODE, TELEPHONE NUMBER OF LANDLORD, LANDLORDS SIGNATURE, DATE SIGNED YYYY MMM DD, X We require a rent receipt in, This form is for Ministry of, Rent Receipt, Date, YYYY MMM DD, Received from, and For the month of.

Rent Receipt, LANDLORDS SIGNATURE, and POSTAL CODE inside shelter verification form bc canada

3. This third part should also be fairly uncomplicated, ORIGINAL FILE COPY CLIENT, and Landlords Signature - all of these blanks must be completed here.

shelter verification form bc canada writing process shown (step 3)

It's simple to make an error while filling out the Landlords Signature, therefore make sure to take another look prior to deciding to submit it.

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