Tenant Complaint Form – Kitchener Housing

Your Name *

First

Last

Your Address *

Your Telephone # *

Type of Complaint (Please Check) *

Date / Time of Incident *

Date

Time

Location of Incident *

Description of Incident: Please share what happened in as much detail as possible. Please provide incident numbers if ByLaw or Police were involved.

Tell us how the incident affected you:

If this incident results in an application under the Residential Tenancies Act, 2006 at the Landlord and Tenant Board, are you willing to act as a witness at the Board? *

Yes
No