Tenant Issue Report

If you need to report an issue concerning a tenant, staff member, or any community-related concerns, please fill out and sign this online form. Your submission will be received by our Housing Department, and your TSHC will be in contact with you shortly.

Date and Time of Occurrence

Your name

Your address (include unit #)

Your email (to receive a copy of this completed form)

Your phone number

If you do not have a phone, how can we contact you?

The tenant issue is (select one option)

This is about personal damage to me (injury, property damage)

This is about disturbance of my reasonable enjoyment as defined by the Residential Tenancies Act (RTA) or applicable Bylaws

Other

I wish to make a report about the following individual

Name

Address, if known (include unit #)

What happened?

Tell us everything that happened including dates and times for each incident, the people involved & what you did to resolve the problem. Attach extra pages if needed.

Attachment

One file only.
64 MB limit.
Allowed types: gif, jpg, png, pdf, doc, docx, ppt, pptx, xls, xlsx, txt, xml, avi, mov, mp3, rar, svg, zip.

Were there other witnesses?

Yes

Don't know

Please encourage any witnesses to complete a separate Tenant Issue Report as well. You are not required to provide their name(s).

Were Police involved?

Yes

Name(s) of Officer(s) involved

Police Occurrence Number (if you have it)

Submit an electronic copy of the Police Occurrence (if you have it)

One file only.
20 MB limit.
Allowed types: jpg, png, pdf, doc, docx, ppt, pptx, xls, xlsx, avi, mov, mp3, svg.

I understand that because of confidentiality and the Municipal Freedom of Information and Protection of Privacy Act, County of Wellington, Housing Services or Guelph Non-Profit Housing Corporation may not be able to tell me the actions they have taken as a result of this report. I understand that other staff may be consulted to help resolve my concerns. The information in this report can be used for Landlord and Tenant Board matters.

By selecting the "I Accept" option, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement.

I Accept

Date form completed

Please indicate your Tenant Services Housing Coordinator's email address.

Personal information supplied on this form is collected under the authority of the Housing Services Act, 2011 and is subject to the Municipal Freedom of Information and Protection of Privacy Act, 1990. For further information on the use and collection of this information should be directed to the Tenant Services Housing Manager at 519.824.7822 x 4300.