Special Priority Placement (SPP) Application for the RGI Housing Wait List

Special Priority

Special Priority is for applicants who have been abused by another person living in their household or have been a victim of human trafficking. It is intended to help you separate permanently from the person abusing you. Special Priority is provided to applicants whose personal safety is at risk. Your application may be given Special Priority on the waiting list if:

• You are eligible for Rent-Geared-to-Income (RGI) housing
• You make the request in writing (using this form)
• You are 16 years of age or older, or provide an authorized signature
• You or a member of the household has experienced abuse or trafficking
• The abusing individual is, or was, living with the applicant
• The applicant intends to live permanently apart from the abuser

Abuse and Human Trafficking

For the purpose of Special Priority, abuse means:

• One or more incidents of physical or sexual violence, controlling behaviour, intentional destruction or intentional injury to property, words/ actions/ gestures that threaten an individual or lead an individual to fear for his or her safety.

For the purpose of Special Priority, trafficking means:

• One or more incidents of recruitment, transportation, transfer, harbouring or receipt of the member by improper means, including force, abduction, fraud, coercion, deception and repeated provision of a controlled substance for an illegal purpose, including sexual exploitation or forced labour.

Relationship to the abuser

For the purpose of Special Priority, the abuser must be:

• The abused person’s partner, spouse, parent, child or other relative
• The abused person’s immigration sponsor
• A person on whom the abused person is emotionally, physically or financially dependant

Questions about contacting you:

Alternate Contact Information

In the event that the abused member is under the age of 16, please list the authorized person:

Details of special priority due to abuse:

This information is only for the purpose of verifying that you lived together.

Accompanying documents needed for special priority due to abuse:

Details of Special Priority Due to Trafficking Request

Accompanying documents needed for special priority due to trafficking:

Declaration, Consent and Release from Applicant

Notice of Collection

The personal information disclosed in this form or any additional attachments will be used only for the purpose of evaluating the household’s eligibility for Special Priority Placement (SPP) status. The use and disclosure by Housing Access Peterborough of the personal information in this form will be subject to the Housing Service Act, 2011, the Personal Health Information Protection Act as applicable, and the Municipal Freedom of Information and Protection of Privacy Act.

Any questions regarding the collection or release  of this information should be directed to Housing Services, Peterborough Social Services, 178 Charlotte Street, PO Box 4138, Peterborough, ON  K9J 8S1 to the attention of the Housing Access Peterborough Lead or by calling 705-748-8830.

Next Steps

Your paperwork will be reviewed by Housing Access Peterborough and you will be contacted using the information you provided above.

Within 7 business days of receipt of this form, you will be advised whether it is complete.

If your application is incomplete you will provided with written information about what else you need to submit.

If the request for Special Priority Placement status is denied, the applicant will be given an opportunity for a final Appeal Panel Review.

If you have any questions, please contact the Housing Access Peterborough Lead at Peterborough Social Services, 178 Charlotte Street, PO Box 4138, Peterborough, ON K9J 8S1 or 705-748-8830.