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Complaint Recording Form

Brantford Housing and Homelessness Services will make every reasonable effort to assist in resolving matters that arise however, it is the tenant’s responsibility to act in accordance with their Tenancy Agreement and to attempt to resolve minor disputes prior to filing a formal complaint.

When Resolving Complaints housing staff will:

Make every reasonable effort to help resolve issues which relate to your lease agreement and may include tenant to tenant mediation.

Consider filing an application with the Landlord and Tenant Board, when all efforts to resolve the problem have been exhausted, and the tenant and/or their guests still continue to unreasonably disturb, harass, or otherwise discriminate against other tenant Complainants will be required to provide documented proof of the incident and may be called as witnesses
Deal immediately with tenants who behaveviolently towards other tenants, staff and/or contractors, or otherwise threaten their safety or security

When Resolving Complaints, staff will not:

Get involved in rumours
Get involved in minor disputes or complaints
Act on a complaint if the complaint is discriminatory
Get involved in issues where Housing, as the landlord, has no authority to deal with the complaint
Consider evicting tenants if there is limited documented evidence or no witnesses

If you are a tenant and need help to complete this form please call your Property Manager

Section A – Complaint Information

Date of Incident (mm/dd/yyyy)

Time of Incident

Name and Address of People Involved

First name

Last name

Unit number

Street number

Street name

City

Province

Postal code

Add Remove

Details of incident. Please include how the incident has negatively affected you.

Are you willing to appear at the Landlord and Tenant Board Tribunal?

Yes

Have authorities been involved such as police, fire, etc?

Yes

If yes, please provide the Incident or Report Number and all the details and supporting documents.

Section B – Your Information

First name

Last name

Unit number

Street number

Street name

City

Province

Postal code

Phone number

Email address

I declare that:

the information I have reported is truthful

Today's Date mm/dd/yyyy

Section C – Consent

Privacy Notification and Consent

Personal information contained in this form or in any attachments is collected by City of Brantford Housing & Homelessness Services Department in accordance with the Freedom of Information and Protection of Privacy Act or the Municipal Freedom of Information and Protection of Privacy Act and will be used only as set out in this form.