Application for Rental Housing

Kwänlin

5°C

Däkwäkäda

7°C

Lu ghä

4°C

IMPORTANT

In this application you must include:

Two references attached and signed by Landlord (You can download the fillable Landlords form at the bottom of this page)
Proof of income attached (recent pay stubs, confirmation of SA, EI, etc.)

Please be advised that we are unable to process incomplete applications. If your application is not complete, it will be on hold until all of the necessary information is received.

For assistance in completing this form, please contact CAFN Property Services at 867-634-4200. The information contained in this document is confidential and only for the information of the individuals authorized to receive and retain this information.

Primary Applicant Name and Contact Information

Full Name(Required)

Home Phone

Work Phone

Cell Phone

Currrent Address

Street Address Address Line 2 City Province Postal Code

Mailing Address (if different from above):

Street Address Address Line 2 City Province Postal Code

Secondary Applicant Name and Contact Information

Full Name

Home Phone

Work Phone

Cell Phone

Current Address

Street Address Address Line 2 City Province Postal Code

Mailing Address (if different from above):

Street Address Address Line 2 City Province Postal Code

I/ We are applying for rental housing in:

I/We are transfer from current CAFN rental unit?

Yes

Please explain

I/ We are applying for a:

1-bedroom unit

2-bedroom unit

3-bedroom unit

Household Information

How many individuals would be living in the home?

Individual 1 Info

Name

First Last

Age

Elder/Disabled

Yes

Male/Female

Male

Female

CAFN Citizen

Yes

Individual 2 Info

Name

First Last

Age

Elder/Disabled

Yes

Male/Female

Male

Female

CAFN Citizen

Yes

Individual 3 Info

Name

First Last

Age

Elder/Disabled

Yes

Male/Female

Male

Female

CAFN Citizen

Yes

Individual 4 Info

Name

First Last

Age

Elder/Disabled

Yes

Male/Female

Male

Female

CAFN Citizen

Yes

Individual 5 Info

Name

First Last

Age

Elder/Disabled

Yes

Male/Female

Male

Female

CAFN Citizen

Yes

Individual 6 Info

Name

First Last

Age

Elder/Disabled

Yes

Male/Female

Male

Female

CAFN Citizen

Yes

Individual 7 Info

Name

First Last

Age

Elder/Disabled

Yes

Male/Female

Male

Female

CAFN Citizen

Yes

Transportation

Do you own/operate a vehicle?

Yes

Pets

Please note, pets are NOT permitted in the Whitehorse units.

Do you have pets?

Yes

How many?

Please list your pets here

Name

Is it registered?

Breed

Male/Female

Is it Spayed/Neutured?

Household Income

Source of Income

Applicant

Co-Applicant

Total

Annual salary/wages, part-time earnings

First Number

Second Number

Total

Employment insurance benefits

First Number

Second Number

Total

Social assistance, workers comp, other benefits

First Number

Second Number

Total

Self-employed or seasonally employed earnings

First Number

Second Number

Total

Other income.

First Number

Second Number

Total

Please specify about other income source:

Total Income from all sources

Total

Please attach proof of income from all sources or copies of your latest income tax assessment.

Max. file size: 128 MB.

Previous Housing Application

Have you or anyone in your household applied previously for CAFN rental housing?

Yes

When was your previous application submitted?

Information on your Current Accommodations

Do you rent or own your home?

Rent

Own

Type of current accommodations:

House

Trailer

Sharing

Other

Please specify

Do you own/operate a vehicle?

Yes

Please provide information on your current and last 2 residences.
Note: The application is not complete unless this information is provided.

Please upload a PDF with the fillable form for Landlords completed. (You can create a PDF with the photos of the filled form)

Max. file size: 128 MB.

(You can download the form at the bottom of this page)

Current Address Data

Address

Street Address Address Line 2 City Province Postal Code

From Date

To Date

Landlord Name

First Last

Landlord Phone

Previous Address Data

Address

Street Address Address Line 2 City Province Postal Code

From Date

To Date

Landlord Name

First Last

Landlord Phone

Information on your Current Accommodations

Number of people living in present accommodations:

Number of bedrooms

Monthly rent/ mortgage: $

Condition of your current accommodation is:

Good

Fair

Poor

Please explain

If the condition of your current accommodation is poor please provide photos:

File upload

Max. file size: 128 MB.

File upload

Max. file size: 128 MB.

Are there any Health and Safety Issues in your current accommodations?

Please provide photos:

File upload

Max. file size: 128 MB.

File upload

Max. file size: 128 MB.

File upload

Max. file size: 128 MB.

Additional Information on your current Accommodations and why you are applying for CAFN Rental Housing:

Applicant #1 (please print)

Signature

Date

Applicant #2 (please print)

Signature

Date

NOTE: It is the responsibility of the applicant to ensure that their application is up to date.
Application forms must be updated annually, or when the applicants’ information changes.
Applications over one year old will be destroyed.

Please be advised that we are unable to process incomplete applications. If your application is not complete, it will be on hold until all of the necessary information is received.

For assistance in completing this form, please contact CAFN Property Services at 867-634-4200.
The information contained in this document is confidential and only for the information of the individuals authorised to receive and retain this information.

For Property Services Department Use Only

Date Received:

By hand

By mail

By email

Processed by:

First Last

Application complete?

Yes

Details

Application elegible?

Yes

Details

Request for Rental Reference

(THIS MUST BE FILLED OUT AND SIGNED BY YOUR CURRENT OR PREVIOUS LANDLORD)

Name of Primary Applicant:

First Last

Name of Secondary Applicant:

First Last

Dear Sir/Madam:
I/we have applied to Champagne and Aishihik First Nations for a rental housing unit and are required to provide confirmation of our tenancy record. Please complete the following:

Landlord Name

First Last

Phone

Date applicant rented (From):

Date applicant rented (To):

Address of rental property:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Did the applicant give the required notice prior to vacating the unit?

Yes

Did the applicant maintain the unit according to the terms of the lease agreement?

Yes

Did the applicant commit any breach of the lease/rental agreement?

Yes

Confirm the nature of the breach (e.g. damage to the unit, noise unauthorized guests):

Did the tenant correct the breach after receiving notice to do so?

Yes

Is there a balance owing for rent, damage or other charges?

Yes

Any other Comments:

Landlord’s signature

Date

Second Request for Rental Reference

(THIS MUST BE FILLED OUT AND SIGNED BY YOUR CURRENT OR PREVIOUS LANDLORD)

Name of Primary Applicant:

First Last

Name of Secondary Applicant:

First Last

Date applicant rented (From):

Date applicant rented (To):

Address of rental property:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Did the applicant give the required notice prior to vacating the unit?

Yes

Did the applicant maintain the unit according to the terms of the lease agreement?

Yes

Did the applicant commit any breach of the lease/rental agreement?

Yes

Confirm the nature of the breach (e.g. damage to the unit, noise unauthorized guests):

Did the tenant correct the breach after receiving notice to do so?

Yes

Is there a balance owing for rent, damage or other charges?

Yes

Any other Comments:

Landlord’s signature

Date

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Whitehorse, YT Y1A 2H2

(867) 456-6888

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