City of London - Rental Unit Repair License Application

Note: Fields marked with ★ are mandatory.

Applicant information

Applicant name

Applicant address

Applicant phone number

Applicant email

Applicant 2 name*

Applicant 2 address*

Applicant 2 phone mumber*

Applicant email*

If a partnership, please list the name, address, email address, and telephone number of each partner.

*if applicable

Landlord information

Landlord name

Landlord address

Landlord phone number

Landlord phone email

Landlord 2 name*

Landlord 2 address*

Landlord 2 phone number*

Landlord 2 email*

If a corporation, please include the address of its head office, and the name, address, email and telephone number of each director and officer.

*if applicable

N13 Notice

Upload Copy of N13 Notice Given to Tenant

Affidavit: Details of Notice Given

I certify that the details of the N13 Notice provided are accurate and complete to the best of my knowledge.

Tenant Information Package

Affidavit: Details of Tenant Information Package Given

I affirm that the details of the Tenant Information Package provided are accurate and complete.

Residential Tenancy Agreement

Upload Residential Tenancy Agreement

Tenant's Right of First Refusal

Upload Written Notice for Tenant's Right of First Refusal

Qualified Professional's Report

Upload Qualified Professional's Report

Building Permit

Upload Building Permit (or link to the portal to provide permit number)

Sworn Statements

Certification of Accuracy, Truthfulness, and Completeness of Application

I certify that all information provided in this application is accurate, truthful, and complete to the best of my knowledge.

Upload Government-Issued ID

Acknowledgement

Acknowledge Personal Information Usage for Processing, Issuing, and Administering Licences

I acknowledge that my personal information will be used for the processing, issuing, and administering of licences.

The personal information on this form is collected under the authority of the Municipal Act, 2001 and will be used to process your Rental Unit Repair licence application. Your personal information may also be disclosed to a third party for the purposes of gathering data for municipal compliance purposes. Questions about this collection should be addressed to the Manager, Records and Information Services, 300 Dufferin Ave., London, ON N6A 4L9. Tel: 519-661-2489 x5590, email: bsomers@london.ca

Note: If the form does not appear to submit, please open each section and confirm that there are no issues or missing required fields.