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8.2 Request for Review
Community Housing
Effective Date:
Topic:
Forms
Replaces:
Subject:
Request for Review
Policy No. 8.2.
REQUEST FOR REVIEW (Provider to Committee)
Date:
*
(d/m/y)
Name of Appellant:
*
Appellant’s Telehone #:
*
Date appeal letter was received:
*
(d/m/y)
Decision being appealed:
*
refused place on waiting list (centralized, special needs, special priority)
refused place on waiting list (centralized, special needs, special priority)
not offered a unit
not offered a unit
made ineligible for subsidy
made ineligible for subsidy
disputed subsidy calculation
disputed subsidy calculation
declared over-housed
declared over-housed
refused transfer
refused transfer
other
other
What were the reasons for your decision?
*
What options have already been discussed with the appellant?
*
Is there other information the committee needs to make a decision?
*
Housing Provider:
*
Individual Submitting Request:
*
Date Submitted:
*
(d/m/y)
Submit