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Submit RGI Housing Application and Supporting Documents

RGI Housing Application and Supporting Documents

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

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

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

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

Declaration, Consent and Release from Applicant

I understand that Housing Access Peterborough (HAP) requires the requested personal information to determine my/our eligibility for RGI housing.
 
I consent to HAP using, verifying and retaining this information in my housing file, for the purposes of determining eligibility for RGI housing.
 
I consent to the verification of my personal information on any social assistance database.
 

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.