COVID Rent Payment Plan Application: each tenant & partner must complete their own form

From Michelle Waye, Director of Consumer Programs, Service NS:

"During this time all tenants are expected to pay their rent. If a tenant has had their income affected by COVID-19, we encourage landlords and tenants to discuss circumstances to see if an arrangement can be worked out. This change will give tenants time to benefit from recently announced federal and provincial financial aid. If an arrangement cannot be made, landlords may file for non-payment of rent once the Access Centres are operational. At the hearing, the tenant will be asked to provide proof that their income has been affected by the COVID-19 pandemic. When the hearing is held, the order will reflect all outstanding rent owing."

Milestone created this Rent Payment Plan Application for tenants with proof that COVID-19 has affected their ability to pay their rent on time. The Tenant authorizes Milestone to verify the information below with their employer and with the Provincial & Federal government. Milestone will review this application and contact the Tenant to discuss further.

Name of Applicant:

All other Tenants on Lease and/or Partner:

Building

Unit:

Phone:

Email:

Reason for Request (check all that apply)
COVID has shutdown my workplace COVID has reduced my hours I had to self isolate and I lost pay

Other - please expain below

Describe how COVID has reduced your income and why you are requesting a Rent Payment Plan:

Last day worked

Next scheduled work day

Date of most recent pay check

Amount of most recent pay check

Date of next pay check

Amount of next pay check

What date did you learn that your hours or pay would be reduced due to COVID?

Check all the government programs that you have applied for or are currently enrolled in:
Employment Insurance (EI) Emergency Response Benefit ($2000/mo) Enhanced Canada Child Benefit (CCB)
Small Business Support

Other Programs (describe below)

Date you applied:

Employment Insurance (EI):

Canada Emergency Response Benefit: