The Housing Registry

Subsidized Housing Application

Subsidized housing is long-term housing where the rent is calculated

Apply Online! based on total household income. Housing Providers use The Housing
You can apply to The Housing Registry Registry to select tenants when units become available. There are
online at: more people applying for housing than vacant units. It is not possible
https://housingapplication.bchousing.org/
to predict when units may be available.

Application Instructions Who is Eligible?

Step 1: Check if you are eligible. You may be eligible for The Housing Registry if your household meets
Step 2: Complete, sign and date all all the following conditions:
sections of the application form. 1. One of the following household groups:

Step 3: Gather and provide copies of • Family

supporting documents. • Senior (55+)
Step 4: Submit your application by mail, • Person with Disabilities
fax, upload or drop off at our office. • Single people or couples at risk of homelessness
Step 5: Wait for our letter advising your 2. Reside in British Columbia
application has been processed. 3. Meet residency requirements
Completed applications with all 4. Below threshold for income and assets
supporting documents will be reviewed
in the order they are received. For more information on eligibility, please see The Housing Registry
website at www.bchousing.org or call The Housing Registry office at
Applications submitted without required
documents can be held for a maximum of the numbers below.
90 days.

Housing Providers may complete additional checks to assess a

Contact Us Hours:
household’s ability to uphold the obligations of a tenancy agreement.
101 – 4555 Kingsway 8:30am - 4:30pm
Burnaby, BC V5H 4V8 Monday - Friday These may include:
• Updated information on household members, income, and assets
Toll-Free: 1-800 257-7756
• Reference checks
Phone: 604 433-2218
Fax: 604 439-4729 • Personal interviews
• Information from public sources such as Court Services Online and
police websites
• Consent for a credit or criminal record check

Applicants may be required to sign a tenancy agreement and

addendum covering topics on pets, parking, laundry, smoking, crime-
free housing, etc.

For help with this form, please contact The Housing Registry at 604 433-2218 or 1-800 257-7756 REG-001 (2022-01-01)
Please do not submit original documents. The Housing Registry
Subsidized Housing Application
Required Documents: Checklist
 Proof of status in Canada for all household members
• Copy of Canadian birth certificate(s) or Canadian passport(s) if born in Canada.
• If not born in Canada, please provide one of the following:
o Record of Landing (IMM1000) or Confirmation of Permanent Residence (IMM5292/IMM5688); or
o Permanent Resident Card (front/back); or
o Any immigration document showing the date landed and the immigration code; or
o Canadian Citizenship Card, Canadian Citizenship Certificate, or Canadian Passport; or
o Refugee Protection Claimant Document (RPCD) or Notice of Decision.
 Proof of student status for all adult children aged 19 – 24 who are full-time students.

Suggested Documents:
Please note: Housing Providers may require the documents below. Housing Providers may require additional
information to process your application for housing.
 Proof of address and rent
• Copy of current rent receipt or recent rent increase notice; or
• Copy of lease or tenancy agreement showing current rent amount.
 Proof of income or disability assistance (required for all household members aged 19+)
• If receiving income assistance or disability assistance from the Ministry of Social Development and Poverty
Reduction: copy of cheque stub or confirmation of monthly assistance.
• If employed: proof of current gross monthly income (last three consecutive cheque stubs or letter from
employer).
• Copies of cheque stubs, bank statements showing direct deposit of pensions, or other confirmation of
income for any other income source.
 Proof of assets (required for all household members aged 19+)
• Copies of recent bank summaries and statements from all financial accounts clearly stating the account
holder’s name.
• Copies of property tax assessments for value of property owned and proof of outstanding mortgage(s).

Additional Documents (If Applicable)

 Copy of Notice to End Tenancy (if you answered Yes to Question 9c).
Please submit an official form from the Residential Tenancy Branch (RTB). To get a copy of this form, call the
RTB at 1-800 665-8779 or download it from www.gov.bc.ca/landlordtenant.
 Optional: Supplemental Application Form only needs to be completed if you wish to receive extra
consideration for:
• Homelessness;
• Health Condition affected by current housing; or
• Fleeing abuse or violence.
T he Supplemental Application Form is available online at www.bchousing.org or call The Housing Registry to have
a copy sent by mail.

Submit application with supporting documents by:

Mail: Upload Documents Online: Fax:
The Housing Registry Send saved PDF application and 604 439-4729
101 – 4555 Kingsway supporting documents digitally by
Burnaby, BC V5H 4V8 visiting: www.bchousing.org/PUF
For help with this form, please contact The Housing Registry at 604 433-2218 or 1-800 257-7756 REG-001 (2022-01-01)
 The Housing Registry
Subsidized Housing Application

FOR OFFICE USE ONLY

File: Date:
Please Print Clearly

1. Applicant Information
List yourself and all potential household members for subsidized housing. If required, attach a separate sheet for more names.
Relationship Date of Birth Gender Born in Status
Last Name First name(s)
to Applicant (dd/mm/yyyy) Identity Canada? in Canada*
Applicant  Ye s  No Select status

 Ye s  No Select status
 Ye s  No Select status
 Ye s  No Select status
 Ye s  No Select status
 Ye s  No Select status
 Ye s  No Select status
*Status in Canada: Canadian Citizen, Permanent Resident, Refugee, Student Visa, Tourist Visa, or Work Visa.
Please provide proof of status in Canada as stated in the checklist.

2. Residential Address You must currently reside in British Columbia to be eligible for The Housing Registry.
Apt # Street # Street name City Postal code

Mailing Address If different from home address.

Apt # Street # Street name City Postal code

3. Contact Information
Cell phone Other phone Email

Optional: Name of person we can leave messages with Message person phone number

Optional: Authorized contact* name and relationship to you Authorized contact phone number

Note: By providing an authorized contact, you are giving permission for BC Housing to exchange information with that authorized
contact in order to maintain and update your Housing Registry file. To remove an authorized contact, please contact BC Housing.

4. Household Information (Optional)

Do you or anyone in your household identify as being an Indigenous person of Canada?  Yes  No
If yes, please select the option that best describes your Indigenous identity:  First Nations  Métis  Inuit  Other

Note: Question 4 is optional. Data is collected for planning and reporting purposes and does not impact eligibility for housing.
However, Housing Providers with an Indigenous focus may give priority to applicants who have identified as being an Indigenous
person in Canada.

For help with this form, please contact The Housing Registry at 604 433-2218 or 1-800 257-7756 REG-001 (2022-01-01) Page 1 of 6
 5. Residence History
5a. Please provide information on where you have lived for the last five years. At least one reference (landlord or character) is
required. If space is needed, attach a separate sheet.
Current Address (street, city) From (mm/yyyy) To (mm/yyyy) Landlord Name Landlord Phone Number

Reason for Leaving:

Previous Address (street, city) From (mm/yyyy) To (mm/yyyy) Landlord Name Landlord Phone Number

Reason for Leaving:

Previous Address (street, city) From (mm/yyyy) To (mm/yyyy) Landlord Name Landlord Phone Number

Reason for Leaving:

*Please provide the suggested proof of address and rent documents as stated in the checklist.*

5b. Have you or any members of your household ever lived in subsidized housing?  Yes  No

If so, list the name(s) on the tenancy: _________________________________________________________________

Building name and/or address: _________________________________________________________________

Note: Failure to declare any previous subsidized tenancies may result in cancellation of your application. Past tenants with
debt may be required to either repay the debt or enter into a repayment agreement.

6. References (Optional)
If you did not list a current or previous landlord in Question 5, please include a reference that has observed your character over
a reasonable amount of time. Examples: employer, past employer, pastor, outreach worker or health worker.

Name Relationship Phone Number

7. Asset Information
What is the total value of assets for adults (age 19 or older) in the household? $ _____________________

Counted Not Counted

• Stocks, bonds, term deposits, mutual funds and cash • Personal items such as vehicles, jewelry, and
• Real estate equity (net value after mortgage) furniture
• Business equity in a private incorporated company • Bursaries or scholarships from educational
including cash, GICs, bonds, stocks or real estate institutions for any household member who is a
equity current student
• TFSA • RRSP, RESP, RDSP, RRIF

*Please provide the suggested proof of assets documents as stated in the checklist.*

For help with this form, please contact The Housing Registry at 604 433-2218 or 1-800 257-7756 REG-001 (2022-01-01) Page 2 of 6
 8. Income Information
8a. List all gross (before deductions) monthly income for household members aged 19 and older.
If required, attach a separate sheet.

Name Income Source Gross Monthly Disability

(Income Assistance, employment, EI, pension, etc.) Income ($) Income?
$  Ye s  No
$  Ye s  No
$
 Ye s  No
$
 Ye s  No

$  Ye s  No

8b. Is any adult child (ages 19 – 24) a full-time student in the household?  Ye s  No
*Please provide required proof of full-time student status and suggested proof of income documents as stated in the checklist.*

9. Current Accommodation
9a. Are you renting?  Yes  No

If you are renting, how much is your monthly rent payment? $_______________________

9b. Please describe your current living arrangements.

 House/Townhouse  Apartment/Basement  Manufactured Home/Trailer

 Sleeping Outside  Staying with Family  Staying with Friends
 Motel/Hotel  Transition Home  Second Stage Housing
 Care Facility or Treatment Centre  Emergency Shelter  Other:_________________________________

9c. Have you received a legal Notice to End Tenancy?  Yes  No

If yes, when do you have to move by? __________________________________

*Please provide a copy of the Notice to End Tenancy form (if applicable) as stated in the checklist.*

9d. Is there anything else that you want to share with a potential landlord about your current living situation?

For help with this form, please contact the Housing Registry at 604 433-2218 or 1-800 257-7756 REG-001 (2022-01-01) Page 3 of 6
 10. Health and Mobility Information
10a. Do you, or any members of your household, have challenges with stairs?

 I/We can do stairs  I/We cannot do stairs  I/We can only do a few stairs. How many? _________ steps

10b. Do you, or any member of your household use a: Wheelchair?  Yes  No Scooter?  Yes  No

If yes, who? ________________________________________ Used inside the home?  Yes  No

10c. Please only list health conditions or disabilities that would affect your housing needs.

Name of Household Member Health Condition or Disability

10d. Please describe any health concerns that are affected by your current housing.

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

10e. Please describe any special requirements or features that you may need in your housing (e.g., grab bars, near transit).
Please note that special requirements or features may limit the number of units that you are eligible for.

______________________________________________________________________________________________________

______________________________________________________________________________________________________

11. Housing Options

11a. Are you willing to live in a non-smoking/vaping free building and  Yes  No
sign a non-smoking agreement?

11b. Would you live in a co-op?

 Ye s  No
(Must be willing to volunteer time and may include share purchase fees).

11c. Provide the following information for all household pets.

Type How Many? Willing to Rehome?

Accredited dog under the “Guide Dog and
Service Dog Act:”  Yes  No
Dog  Yes  All but one  No Please submit proof of guide dog accreditation (if applicable).

Cat  Yes  All but one  No

Other  Yes  All but one  No Describe:

For help with this form, please contact The Housing Registry at 604 433-2218 or 1-800 257-7756 REG-001 (2022-01-01) Page 4 of 6
 12. Where do you want to live?
Please use the Housing Listings to tell us where you would like to apply.

The Housing Listings are available online at www.bchousing.org/housinglistings. You can also request a physical copy of the
Housing Listings by phone at 604 433-2218 (Lower Mainland) or 1-800 257-7756 (Toll-Free).

The Housing Listings provide details on each building in The Housing Registry and Housing Registry Code. Write The Housing
Registry Code from the Housing Listings below to select the buildings for your application.

When selecting buildings, please be aware that The Housing Registry has a two refusal policy. If you refuse two offers of
housing, your application to The Housing Registry will be cancelled. Please be careful when selecting buildings and be sure you
are prepared to live in any of the buildings or areas that you list.

For more information, please visit www.bchousing.org/housinglistings.

Option #1: Buildings.

From the Housing Listings, please record "The Housing Registry Code” for each of the buildings you are interested in
(e.g., 190, ABD). There is no limit on the number of buildings that can be selected for your application.
If the building does not have a Housing Registry Code, you will need to contact the building directly to apply.

________ ________ ________ ________ ________ ________ ________ ________ ________ ________

________ ________ ________ ________ ________ ________ ________ ________ ________ ________

________ ________ ________ ________ ________ ________ ________ ________ ________ ________

Option #2: Cities or Towns.

From the Housing Listings, please record the cities/towns you are willing to live in (e.g., Burnaby, Kelowna).

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

13. Optional Supplemental Application (If Applicable)

Some Housing Providers that use The Housing Registry to fill available units may give additional consideration to applicants
who:
• are homeless;
• are fleeing domestic violence or abuse; or
• have a serious health condition that is affected by current housing.

Applicants who meet these criteria can have a Supplemental Application Form completed by a third-party verifier familiar with
their situation. Please find a list of appropriate potential verifiers within the supplemental form.
For more information or to download the supplemental form, visit www.bchousing.org or call the number below for a copy.

*Please provide the supplemental form (if applicable) as stated in the checklist.*

For help with this form, please contact The Housing Registry at 604 433-2218 or 1-800 257-7756 REG-001 (2022-01-01) Page 5 of 6
 The Housing Registry
Subsidized Housing Application
Declaration
PLEASE READ AND SIGN

I/We declare:
• This is my/our application; and
• All the information in it is correct and complete to the best of my/our knowledge.

I/We permit:
• The Housing Registry to make any inquiries that are necessary to verify the information given in this application;
• Any person, corporation or social agency to release to The Housing Registry any information pertinent to the assessment
of my/our application;
• Members of The Housing Registry to receive and exchange with credit bureaus and my/our previous landlords’ credit and
other tenancy information about me/us, to be used in the decision-making process to provide me/us with housing;
• The Ministry of Social Development and Poverty Reduction to release information to The Housing Registry regarding my/
our income.

I/We understand:
• That, in accordance with section 33.2 (a) of the Freedom of Information and Protection of Privacy Act, the information on
this application may be shared with other affordable Housing Providers in order to increase my/our opportunities for
rent-geared-to-income housing;
• That this application is not an agreement on the part of The Housing Registry or its members to provide me/us with
housing;
• That if I/we refuse two offers of housing, my/our application will be cancelled;
• That if I/we are being considered for an available unit, Housing Providers will gather additional information in order to
assess my/our ability to uphold the obligations of a tenancy agreement and it is my/our responsibility to provide or cause
to be provided information requested to assist with this assessment;
• That it is my/our responsibility to tell The Housing Registry of any changes to the information given in this application and
to provide any supporting documents required;
• That false information given by me/us may result in my/our application being cancelled from consideration;
• That if I/we have deliberately worsened my/our current housing situation (e.g., terminated a tenancy for no reason) that
my/our application may not be accepted or my/our current living situation may not be taken into consideration.

This application must be signed by all household members aged 19 and older.
Applicant (print name) Signature of Applicant Date

Additional Applicant (print name) Signature of Additional Applicant Date

Additional Applicant (print name) Signature of Additional Applicant Date

Additional Applicant (print name) Signature of Additional Applicant Date

Purpose of this form: This form collects personal information for contact purposes and to determine eligibility for subsidized housing through The
Housing Registry. The information is collected in accordance with section 26(c) of the Freedom of Information and Protection of Privacy Act. If you
have any questions about the collection of your information, please call 604 433-1711 and ask to speak to BC Housing’s Privacy Officer or write to
Privacy Officer, BC Housing 4555 Kingsway, Burnaby, BC, V5H 4V8.

For help with this form, please contact The Housing Registry at 604 433-2218 or 1-800 257-7756 REG-001 (2022-01-01) Page 6 of 6