Family Income Declaration Package Instructions: Step 1: Complete the Income Declaration Form (Pages 3 and 4) Step 2: Attach verification of all sources of income for the household (below): Social Assistance Recipients must provide proof of eligibility letter and statement of assistance Employment Verification Form (Schedule 1) AND/OR 8 consecutive weeks of the most recent pay stubs Any household member in receipt of other income (i.e. Employment Insurance, Compensation, private pension etc.) must provide most Canada Pension, Worker’s recent entitlement statement Children 16 years of age or older, still living at home, must provide proof that they are in full-time attendance at school or verification of income Each household member must provide copies of all bank passbook(s)/bank statements for the last 2 months AND/OR a Verification of Assets Form (Schedule 2) Page 2 lists definitions of income and examples Note: Step 3: Attach the most recent Notice of Assessment from Revenue Canada for all household members. Call 1-800-959-8281 or visit to request a copy of the of Income statement Option ‘C’ Proof Step 4: Sign the declaration Step 5: Return completed package within 30 days to: <Insert Providers/Property Management Address> If you have any questions or need assistance completing this package, please call: <Insert phone number> Failure to complete and return this package within 30 days could result in the loss of rent-geared-to-income assistance for your household.
Family Income Declaration Package Instructions: Step 1: Complete the Income Declaration Form (Pages 3 and 4) Step 2: Attach verification of all sources of income for the household (below): Social Assistance Recipients must provide proof of eligibility letter and statement of assistance Employment Verification Form (Schedule 1) AND/OR 8 consecutive weeks of the most recent pay stubs Any household member in receipt of other income (i.e. Employment Insurance, Canada Pension, Worker’s Compensation, private pension etc.) must provide most recent entitlement statement Children 16 years of age or older, still living at home, must provide proof that they are in full-time attendance at school or verification of income Each household member must provide copies of all bank passbook(s)/bank statements for the last 2 months AND/OR a Verification of Assets Form (Schedule 2) Note: Page 2 lists definitions of income and examples Step 3: Attach the most recent Notice of Assessment from Revenue Canada for all household members. Call 1-800-959-8281 or visit to request a copy of the Option ‘C’ Proof of Income statement Step 4: Sign the declaration Step 5: Return completed package within 30 days to: <Insert Providers/Property Management Address> If you have any questions or need assistance completing this package, please call: <Insert phone number> Failure to complete and return this package within 30 days could result in the loss of rent-geared-to-income assistance for your household.
family-income-declaration-english.docx