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City of Kawartha Lakes
Housing Help division
Unit A - 37 Lindsay Street South
Lindsay, ON  K9V 2L9
705-878-9367 ext 3112
housinghelp@kawarthalakes.ca

Request and Verification for Accessible Accommodation

Declaration and Consent: This section is to be completed and signed by the applicant, or if the applicant is less than 16 years of age, a parent or legal guardian.

I, the applicant, consent to my doctor verifying and disclosing the personal health information requested in this form for the purposes stated below. I declare the information given on this form is true and correct to the best of my knowlege. I have not knowlingly left out information or provided false information.

Clear

Personal information contained on this form is collected pursuant to the Housing Services Act, 2011, and will be used for the purpose of responding to your request.  Questions about the collection of this information should be directed to the City Clerk or Deputy-Clerk at 705-324-9411 extension 1295 or 1322.

Please complete the following questions in regards to your needs for accessible accomodation. Applicants and tenants are eligible for a modified unit based on a medical condition or disability. Most apartment buildings provide barrier-free features.

What types of special needs do you or another member of the household have?

What features are you or another member of the household applying for:

Many of the accessible units have varying accessibility modifications. City of Kawartha Lakes - Housing Help Division staff work with applicants to assist them in applying for appropriate housing choices. Once the applicant receives an offer of housing for a modified unit, they should work with the Housing Provider to ensure that the specific unit meets their accessibility requirements.

For tenants currently in an accessible unit, regular verification of need is required to ensure legislative compliance.



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