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APPLICATION FOR RENTAL ACCOMODATION

Eligibility : Applicants must be 55 years old or over, independently mobile and able to care for self, or at least 50 years old and disabled.
Please select location and type of accommodation (you can check more than one)
Burnaby Apartments (Rent Geared to Income & Market Rent units)
McKay Apartments (Below Market rental units)
Vivian Apartments (Below Market rental units)
Primary Applicant
Spouse Info
More About Your Spouse
Will live with Spouse?
Language Spoken:
The Why
The Why
Tell Us a little about your former Apartment
  1. Address: {{former_house.address}} Landlords name: {{former_house.landlords_name}} Date: {{former_house.date_of_residency}} Reasons for leaving: {{former_house.reasons}} House rent: {{former_house.amount}} Landlords telephone: {{former_house.telephone}}
Please list the addresses where you lived in the past 5 years including your current address:
Further Enquiry
Disabilities? :
Do you or your spouse require a wheelchair for mobility? :
Do you receive home support? :
Do you or your spouse smoke :
are you willing to sign a 'non-smoking in Fair Haven properties' agreement?
Do you have a pet? :