Perth and Stratford Housing Corporation-Complaint Form

The PSHC does not respond to every complaint submitted. A representative will reach out to you directly if additional information is required.

Your Name:

Your Address:

Date of Incident:

Phone:

Email:

Reporting Date:

Please check the category below that best describes you:

Tenant/Resident

Community Service Provider

Member of the Public

Trades Person

Other

Please Note:

Report any illegal or criminal activity to the police before completing a complaint form

Do not complete a complaint form to request general repairs/issues. Contact maintenance directly at 519-271-3773 ext 241 or email Public Housing.

Please tell us about your concern or issue – include as much information as possible.

When did this happen? (such as date, time)

Where did it happen? (such as in a unit, hallway, common room, on the grounds, etc.)

Who was involved? (Include names and addresses if you can. Also, include names of witnesses, guests, other tenants)

What happened? Provide as much detail as possible. You may attach documentation if necessary.

Upload the documents(if any):

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Have you brought your concern/issue to the attention of the person or people causing the problem? Have you tried to resolve the issue? If yes, please describe below.

Are you willing to appear at the Landlord and Tenant Board to provide evidence in this matter?

Yes

No

Have authorities (police, fire) been involved?

Yes

No

I declare that the information I have reported is accurate.

Agree

The personal information collected on this form is collected by The Corporation of the City of Stratford under the authority of the Housing Services Act, 2011 and will be used by Social Services staff for the purpose of reviewing the application and other administrative purposes. Questions regarding the collection and use of this information may be made to the City Clerk, P.O. Box 818, Stratford, ON, N5A 6W1 or by telephone 519-271-0250 extension 5329 during business hours.
If you require this document in an alternate format, please contact the Clerk’s office at 519-271-0250 extension 5237 or email Clerks Department.