The Residential Tenancies Act, 2006 (s.70) - Saskatchewan

Instructions for an Application

The Residential Tenancies Act, 2006 (s.70)

You should try to settle your dispute before applying to us. If you need to have
the Office of Residential Tenancies (the ORT) resolve a residential landlord/
tenant dispute, complete this form and deliver, mail, fax or email it to the ORT,
together with the applicable fee.
The ORT will send you a Hearing Notice. The Hearing Notice will have a date,
time and place for a hearing, usually 30 to 45 days after you applied. All
possession applications are treated as urgent and hearings will be scheduled
sooner. When applying for possession, you must provide a copy of the Notice to
Vacate and proof of service on the tenant. On the Hearing Notice, you will
provide details of your claim so that the other party and the Hearing Officer will
know exactly what you are claiming. After you have explained your claim on the
Hearing Notice, you will have to deliver a copy of the Hearing Notice to the other
party and provide proof that you have done so. Instructions are on the Hearing
Notice.
Orders may be registered with the Court of Queen’s Bench and enforced by the
Sheriff. There are fees for registration and enforcement.

04/16 Form 9

Application for a Claim Form 9

The Residential Tenancies Act, 2006 Office of Residential Tenancies

See reverse for instructions – All information provided in this application is public – Check all applicable boxes –
Only summary information is needed on this form, you will put details of your claims on the Hearing Notice that will be sent to you.

Tenant Application (use Form 12 for Security Deposits)

Breach of quiet enjoyment/disturbance locked out possessions withheld

Failure to provide habitable premises:

Repairs needed Infestation of pests Services not working (heat, air conditioning, appliances, etc.

Other, specify

Landlord Application for Possession - complete either this box or the one below. Possession applications are separate from other claims.

Reason: Rent arrears Nuisance Cleaning/repairs Repeatedly late paying rent

Other, specify

Other Landlord Claims - leave blank if applying for a possession order

Rent arrears estimated $ Cleaning and/or repairs estimated $

Disposition of abandoned property (attach completed Form 2)

Other, specify

A. Rental Property Information Suite No.
Street Address Postal Code
City/Town/Village/Hamlet
Tenancy start (dd/mm/yy) end/last known day (dd/mm/yy)

B. Landlord Information

Landlord/Agent name of ORT ID#

Mailing/Service Address Suite No.
Postal Code
City/Town/Village Province
Fax
Contact: Work Mobile Email

C. Tenant Information
Tenants names:

Guarantee letter Yes No Case No. No
Guarantee letter Yes No Case No. No
Guarantee letter Yes No Case No. No

Present Mailing Address Province Email Suite No.
City/Town/Village Fax Postal Code
Contact: Work
Mobile

Date of application Signature of applicant

Method of Payment (choose any one)

Fees may be waived. Use the Application for Fee Waiver to apply for a Fee Waiver Certificate under The Fee Waiver Act.

Application Fee: $50 If sent by fax or email, you must pay by credit card and submit the credit card payment form.

Cash Interac Cheque Money order Credit Card (attach credit card payment form)

Regina 304 - 1855 Victoria Avenue Saskatoon 105 - 122 - 3rd Avenue North

Regina, SK S4P 3T2 Saskatoon, SK S7K 2H6

Toll Free: 1-888-215-2222; Regina local: 306-787-2699

Toll Free Fax: 1-888-867-7776; Regina Fax: 306-787-5574

Email: [email protected]

For office use only Application group no. Application no.

Payment received by

04/16 Form 9

Office of Residential Tenancies

Credit Card Payment Form

PLEASE TYPE, OR PRINT CLEARLY IF NOT TYPED

Application No.:
(if known)

Date

TO:
Office of Residential Tenancies:

304 - 1855 Victoria Avenue 105 - 122 - 3rd Avenue North
REGINA SK S4P 3T2 SASKATOON SK S7K 2H6

Toll Free: 1-888-215-2222; Regina local: 306-787-2699
Toll Free Fax: 1-888-867-7776; Regina Fax: 306-787-5574

Email: [email protected]

With Regard to:
Address of rental unit

My credit card number and expiry date are listed below:

Mastercard Visa

Account Number
Expiry Date
CVR Number from the back of the card (3 digits)

Security Deposit Amount Being Paid $ App #
Application Fee Amount Being Paid $
Total Amount to be Charged $

Print name above and sign below

Authorized Signature
This form will be shredded after payment is approved.