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Peterborough Renovates Program Annual Compliance Update

Name:

Home Address:

Phone Number:

Email Address:

Please select one of the following options:

I no longer live at the above address.

The above address continues to be my sole and principal residence.

Verification Documents

Please upload a copy of your government issued ID (e.g. driver's licence). Note: If there are 2 homeowners we require both driver's licences.

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Please upload a copy of a utility bill.

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

I/We have truthfully completed this form and understand that misleading information could cause my/our involvement in the program to be terminated.

Yes

Notice of Collection

Personal information contained in this form or any additional attachments are collected in accordance with Section 8 of the Municipal Act for the purpose of determining initial and ongoing eligibility for the Ontario (Peterborough) Renovates Program funding and will also be de-identified and aggregated for statistical and program planning purposes. Any questions regarding the collection or release of this information should be directed to: Housing Services, City of Peterborough, 178 Charlotte Street PO Box 4138 Peterborough, ON K9J 8S1 or by calling 705-748-8830.