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Application to Transfer a Care Home Tenant |
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Instructions |
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Section A: When to use this application...........p. 1
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Section C: Steps you must take before filing the application......................p. 2
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Section C: How to complete this application..................................p. 2
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Section D: What to include when you file your application.................................p. 3
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Section E: How to file your application .................................. p. 4
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Section F:What to do if you have any questions .................p. 5
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You can use this application to apply to the Landlord and Tenant Board (LTB) to transfer a tenant from a care home because the tenant requires a different level of care than the care home provides. :
- less care than the care home provides Or
- more care than the care home provides.
- appropriate alternative accommodation is available for the tenant and
- the tenant’s care needs cannot be met by a combination of the care provided in the care home and the care provided by other community based service providers.
- look for other appropriate alternative accommodation for the tenant,
- determine what care services are available in the community, and whether or not these services will allow the tenant to remain in the care home.
- Print clearly or type and do not touch the edges of the boxes.
- If there are more boxes in a line than you need, start from the left and leave the extra boxes blank.
- Do not fill in boxes that do not apply to you (for example, if you do not have a fax number, do not fill in boxes in the space marked “Fax Number”).
- If the instructions tell you to shade a box or a circle (for example, circles marked “Yes” or “No”), shade the box or circle completely.
- the minimum level of care that the care home provides, and
- why you believe the tenant requires less than this level of care, and,
- which care services the tenant is not participating in, and
- how long the tenant has not been participating in these care services
- the level of care provided in the care home,
- why the tenant’s needs cannot be met with this level of service,
- what care services are available from community based service providers, and
- why the tenant‘s needs cannot be met if care services are provided by both the care home and community service providers.
- the name and address of the facility that will provide accommodation to the tenant, and,
- details of the arrangements that have been made with the facility to transfer the tenant.
- The completed A4 application form,
- The application fee (listed on the cover page of the application).
Section B: Steps you must take before filing this application
If the tenant requires a higher level of care, the LTB will not issue an order to transfer the tenant out of the care home unless it is satisfied that
This means you must:
Read these instructions before completing the application form. You are responsible for ensuring that your application is correct and complete. Follow the instructions carefully when you complete the application form.
The information you fill in on the form will be read electronically; therefore, it is important to follow the instructions below:PART 1: GENERAL INFORMATION
Address of the Rental Unit Covered by this Application
Fill in the complete address of the rental unit, including the unit number (or apartment or suite number) and the postal code.
If the street name includes a direction that will not fit in the five spaces provided (such as Northeast) use the following abbreviations: NE for Northeast, NW for Northwest, SE for Southeast, SW for Southwest.
Example:
If the address is: #208 at 1120 Mayfield Road North, London, this is how you should complete Part 1 of the application:
Landlord’s Name and Address
In the Landlord’s Name and Address section, fill in the landlord’s name and address. If the landlord is a company, fill in the name of the company under “First Name”. Include both daytime and evening telephone numbers and a fax number and e-mail address, if you have them.
If there is more than one landlord, fill in information about one of the landlords in this section of Part 3. Provide the names, addresses and telephone numbers of the additional landlords on the Schedule of Parties form which is available from the LTB website at tribunalsontario.ca/ltb.
Fill in the other party’s name and address. If the other party is the landlord and a company, fill in the name of the company under “Company Name”. Include both daytime and evening telephone numbers and a fax number and e-mail address, if you have them.
Tenant Names and Address
In the Tenant Names and Address section, fill in the tenant’s name. If two tenants live in the rental unit, fill in both their names. If more than two tenants live in the rental unit, fill in information about two tenants in this section of Part 3. Provide the names, addresses and telephone numbers of any additional tenants on the Schedule of Parties form which is available from the LTB website at tribunalsontario.ca/ltb.
Mailing Address
Fill in the tenant’s mailing address only if it is different from the address of the rental unit. Provide the tenant’s daytime and evening telephone numbers. Also provide the tenant’s fax number and e-mail address if you know them.
Related Applications
If you or your tenant have filed other applications that relate to this rental unit, and those applications have not been resolved, fill in the file numbers in the space provided.
PART 2: REASONS FOR YOUR APPLICATION
There are two reasons that you can make this application.
Reason 1 - The tenant does not require as much care as the care home provides.
If you are applying for this reason, shade this circle.
This reason also applies in circumstances where the tenant has repeatedly and substantially withdrawn from participation in some or all of the care services provided by the care home that are set out in the tenancy agreement , and the tenant is not receiving substantially equivalent community based services. If you are applying for Reason 1, in the box, describe:
if the tenant has withdrawn from some or all of the care services provided by the care home:
Reason 2 - The tenant requires a higher level of care than the care home can provide.
If you are applying for this reason, shade this circle.
This reason also applies in circumstances where the tenant has repeatedly and substantially withdrawn from participation in some or all of the care services provided by the care home that are set out in the tenancy agreement , and the tenant is not receiving substantially equivalent community based services. If you are applying for Reason 1, in the box, describe:
Have you found appropriate alternative accommodation for the tenant? You must indicate on the application whether of not appropriate alternative accommodation is available, and whether or not the tenant’s care requirements can be met if both the care home and community care providers supply the tenant’s care services. If you are applying for Reason 2 and you do not provide this information, the LTB will not issue an order to transfer the tenant.
Shade either the Yes or No circle to indicate whether or not appropriate alternative accommodation is available for the tenant.
If you select Yes, in the box provided, include:If you select No, the LTB will not issue an order to transfer the tenant unless it is satisfied that there is appropriate alternative accommodation available for the tenant.
PART 3: SIGNATURE
If you are the landlord, shade the circle marked “Landlord”. Then, sign the application form and fill in the date.
If you are the landlord’s representative, shade the circle marked “Representative”. Then, sign the application form and fill in the date
REQUEST FOR ACCOMMODATION OR FRENCH-LANGUAGE SERVICES
The LTB wants to ensure that everyone who uses its services can ask for and receive accommodation and/or French Language services in order to be able to participate in its proceedings on an equal basis.
Shade the appropriate box or boxes on the form to indicate whether you need accommodation under the Ontario Human Rights Code, French-language services or both. The LTB will not include a copy of this form when we give the other parties a copy of the application form. However, the information will be included in your application file. The file may be viewed by other parties to the application.
If you require accommodation under the Human Rights Code, explain what services you need in the space provided.PAYMENT AND SCHEDULING INFORMATION FORM
Complete this form to provide the LTB with the information required to process your application. Your application will not be accepted if you do not pay the application fee at the time you file the application. If you owe money to the LTB as a result of failing to pay a fee or any fine or costs set out in an order, your application may be refused or discontinued.
You may request a fee waiver if you meet the financial eligibility requirements set out by the LTB. You will need to complete the Fee Waiver Form which is available from the LTB website at tribunalsontario.ca/ltb. For more information about fee waivers and the eligibility criteria, go to the fee waiver rules and practice direction on the Rules of Practice page of the LTB website.
Part 1: Payment Method
Shade the appropriate box to show whether you are paying by cash, debit card, money order, certified cheque, Visa or MasterCard. You cannot pay by cash or debit card if you are filing your application by fax or mail. If you are paying by credit card, include the cardholder’s name and signature, the card number and expiry date. The information you fill in on this part of the form is confidential. It will be used to process your application, but will not be placed on the application file.
Part 2: Information Required to Schedule the Hearing
The LTB will normally schedule your hearing between 3 weeks and 6 weeks after the date you file your application. The LTB will schedule your hearing on the first available hearing date within this 3 week period. If there are any dates that you are not available during this 3 week period, list them here. The LTB will not schedule your hearing on the date(s) you indicate you are not available and will schedule your hearing on the next available hearing date. The LTB will not contact you to schedule a hearing.To file this application, you must include the following:
Your application will be refused if you do not pay the application fee.
You can file your application in one of the following ways:
1. In Person at the nearest LTB office.
To find a list of LTB office locations visit the LTB website at tribunalsontario.ca/ltb. You can also call the LTB at 416-645-8080 or 1-888-332-3234 (toll-free).
If you file your application in person at an LTB office, you can pay the application fee by cash, debit card, certified cheque, money order, Visa or MasterCard.
2. By Mail: Mail your A4 application to the nearest LTB office. To find a list of LTB office locations visit the LTB website at tribunalsontario.ca/ltb. You can also call the LTB at 416-645-8080 or 1-888-332-3234 (toll-free). If you mail your application, you can pay the application fee by certified cheque or money order, Visa or MasterCard.
3. By Fax: You can fax your application to the nearest LTB office. To find a list of LTB office fax numbers visit the LTB website at tribunalsontario.ca/ltb. You can also call the LTB at 416-645-8080 or 1-888-332-3234 (toll-free).
If you fax your application you can pay the application fee by Visa or MasterCard.
Certified cheques and money orders must be made payable to the Minister of Finance.
You can visit the LTB website at: tribunalsontario.ca/ltb.
You can call the LTB at 416-645-8080 from within the Toronto calling area, or toll-free at 1-888-332-3234 from outside Toronto, and speak to one of our Customer Service Officers.
Customer Service Officers are available Monday to Friday, except holidays, from 8:30 a.m. to 5:00 p.m. They can provide you with information about the Residential Tenancies Act and the LTB's processes; they cannot provide you with legal advice. You can also access our automated information menu at the same numbers listed above 24 hours a day, 7 days a week.

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