Required fields are marked with asterisks (*)

Rent Allowance Program Application

Before you apply

The Rent Allowance Program provides a fixed monthly benefit paid directly to a landlord or property owner for eligible households in Renfrew County. Funding is limited. Eligibility, waitlist placement, and benefit issuance are not guaranteed.

1. Program Eligibility Summary

Residency - The household must live in Renfrew County and occupy an eligible rental unit in Renfrew County.

Income - Annual after-tax household income must fall within the County of Renfrew HPP Income Cut-Offs.

Assets - Total household assets must not exceed $50,000, subject to applicable exemptions.

Rent depth of need - OW/ODSP households: monthly rent and utility costs must exceed the applicable shelter allowance. Other households: monthly shelter costs must exceed 70% of gross household income.

Payment - If approved and funding is available, the monthly allowance is paid directly to the landlord/property owner by direct deposit.

Monthly amount - $300 for households without dependent children. $400 for households with dependent children.

Waitlist - Eligible applicants may be placed on the SPP, Mesa Community Housing Prioritization, or General waitlist, depending on eligibility and priority status.

2. Applicant Information

Please indicate whether any household member identifies with one or more of the following categories:

Youth (Aged 16-25 ) - only if they are the applicant or co-applicant

Indigenous

Transitioned from a provincial institution

First Name

Last Name:

Date of Birth: (mm/dd/yyyy)

Phone Number:

Mailing Address:

Municipality/Township:

Postal Code:

E-mail Address:

Income Source(s) i.e. employment, ODSP, pensions, etc.

3. Other Household Members

List everyone who will live in the unit. Household composition is used to determine eligibility and benefit amount.

4. Household Income and Assets

Annual after-tax household income (line 236 from most recent Notice of Assessment)

Gross monthly household income

Total household assets (ex: bank accounts, investments, real estate, life insurance, personal vehicles, recreational vehicles)

Other income or asset details

5. Rental accommodation and shelter costs

Rental Address

Municipality/Township

Landlord / Property Owner Name

Landlord Phone and/or Email

Monthly Rent

Monthly Utilities Not Included in Rent

Total Monthly Shelter Cost

Move-In Date:

6. Requested Documents

Below is a list of documents that needs to be emailed to pembrokerchc@countyofrenfrew.on.ca.

Document Emailed (For Staff Use)

Government-issued photo identification for all household members, where required. ☐ Yes ☐ No

Proof of household composition, such as birth certificates, custody documents or

Child Tax Benefit documentation. ☐ Yes ☐ No

Citizenship or residency status documentation, where required. ☐ Yes ☐ No

Income verification for all household members.

(Notice of Assessment for most recent tax year) ☐ Yes ☐ No

Asset verification, including bank statements, TFSA/RRSP/investment

information and other assets. ☐ Yes ☐ No

Signed lease, rental agreement, rent receipt or other housing verification. ☐ Yes ☐ No

Utility bills, where utilities are included in shelter cost calculation. ☐ Yes ☐ No

Landlord/property owner information and direct deposit documentation,

if an allowance is offered. ☐ Yes ☐ No

SPP or MCHP approval documentation, if applicable. ☐ Yes ☐ No

Additional information you wish to share:

Rent Allowance Program Agreement

Program Rules

Normal landlord and tenant rules apply.
Payment assistance from the County of Renfrew HPP Rental Allowance Program is contingent upon the continuation of funding and is exclusive to the current tenant only. This agreement will terminate should the tenancy terminate or should the tenant become ineligible for participation in the program. Tenant shall not sublet, assign the lease or add persons to the lease without the prior written approval of the HPP Rental Allowance Program.
The maximum monthly payment from the County of Renfrew HPP Rental Allowance Program is $300.00 for an adult household and $400.00 for a family household. The tenant shall be responsible for the payment of the full rent, including increases under the Residential Tenancies Act, 2006.
Should the tenant no longer qualify for the HPP Rental Allowance Program, the landlord may charge the tenant the full market rent.
Landlord agrees to notify Renfrew County Housing Corporation within 5 days of becoming aware that:
An application has been filed under the Residential Tenancies Act, 2006, affecting the unit;
Notice has been given by either the landlord or the tenant to terminate the tenancy;
The tenant has abandoned the unit.
The landlord acknowledges that Renfrew County Housing Corporation is not a tenant and that Renfrew County Housing Corporation’s obligation is solely limited to making the monthly payment specified. Renfrew County Housing Corporation is not liable to the landlord for any breach of the lease by the tenant, including the failure of the tenant to pay rent.
The landlord will keep the unit in a satisfactory state of repair, fit for habitation, and in compliance with Building and Fire Code requirements.
Renfrew County Housing Corporation shall have the responsibility to determine whether a tenant is entitled to participate in the program and monitor the tenant’s ongoing eligibility.
Where a tenant becomes ineligible to participate in the program, Renfrew County Housing Corporation will promptly notify the landlord in writing and will no longer be required to pay the monthly allowance. The landlord may charge the tenant the rent payable by the tenant without regard to any agreement relating to the tenant’s participation in the program. The landlord agrees that the termination of participation in the program does not terminate the tenancy.
Any notice required or permitted to be given pursuant to this agreement shall be in writing and may be delivered by hand, fax, or mail to all parties involved.

I have read and acknowledge the Program Rules outlined in this agreement.

Agree

7. Applicant declaration and signature

I declare that the information provided is true, complete and accurate.
I understand that funding is limited and assistance is not guaranteed.
I understand that I must report changes in address, household composition, income, assets, tenancy or social assistance status within 30 days.
I understand that the Rent Allowance, if approved and available, is paid directly to the landlord/property owner.
I consent to Community Housing verifying information needed to determine eligibility and administer the program.

By checking this box, I/we acknowledge that I/we agree to the above declaration.

Agree

Signature Date: (mm/dd/yyyy)

Applicant -BY SIGNING BELOW, I CONFIRM THAT THE INFORMATION PROVIDED IS TRUE, ACCURATE AND COMPLETE.

Clear