Township of Southgate Landlord/Tenant Complaint Form

Township of Southgate
Landlord/Tenant Complaint Form

Your Information - Mandatory
(Name held in confidence pursuant to the Municipal Freedom of Information and Protection of Privacy Act - MFIPPA)

Name

Address

Phone Number

Email Address

Have you discussed your concerns with the landlord/tenant?

Yes

No

Contact Was Made

Verbally

In Writing

Date of Contact

Location of Complaint (provide address)

Tenant Complaint(s) - Continued

If this is a tenant complaint, please provide the contact information for the owner, landlord, superintendent or agent

Name

Telephone

Address

Signature

Clear

Date

Form Builder