Application

Rental Accommodation
Personal information provided in this application will be used in the administration of rental
accommodation approval. Applicant’s personal information collected in this form will be used
in accordance with Alberta’s personal information protection Act and other applicable laws.
Accommodation Type: Unfurnished Suit Bedrooms #1 or 2 No Pets/Non Smoking

Date: (DD/MM/YY) Number of Occupants#

PERSONAL INFORMATION

Applicant’s Name: (First, Middle and Last)

Co-Applicant’s Name: (First, Middle and Last)

Current Address:

Phone: (HOME) (WORK) Email:

EMPLOYMENT INFORMATION

Applicant

Employer: Occupation:

Employer Address: Salary:

Employed From: to: Supervisor Name: Phone:

Co-Applicant

Employer: Occupation:

Employer Address: Salary:

Employed From: to: Supervisor Name: Phone:

CREDIT REPORT INFORMATION

Full Name: (First, Middle and Last)

Driver’s License# Province:

Date of Birth: (DD/MM/YY)

VEHICLE INFORMATION

Make/Model: Year:

RENTAL HISTORY

#1 Landlord/Agency: Current Rent: $

Address: Phone #:

Reason for Leaving:

Tenancy Period: From (DD/MM/YY) to (DD/MM/YY)

Previous Landlord/Agency: Rent: $

Address: Phone #:

Reason for Leaving:

Tenancy Period: From (DD/MM/YY) to (DD/MM/YY)

REFERENCES

Name: Relation: Phone:

Name: Relation: Phone:

I hereby consent to the collection of the above information for the purpose of rental accommodation approval.

All information provided in this application is correct.

Sign: dated this # day of , 2019.