Rental Reference Request Form

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:

Phone#:

Date applicant rented:

From

To

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

Any other comments:

Landlord's Signature

Date

Primary Applicant Signature

Date

Secondary Applicant Signature

Date

CAFN USE ONLY

Date Approved:

Approval Initials:

Popular topics:

Popular topics:

Rental Reference Request Form

CAFN USE ONLY