The Housing Registry Supplemental Application Form is used by some housing providers that give additional consideration to applicants who are: homeless; fleeing domestic violence or abuse; or have a serious health condition affected by their current housing.

The Housing Registry Supplemental Application Form provides specific information from a third party, such as a health professional, social worker or counsellor, who can verify the applicant’s current housing situation and the specific housing needs they have.

Download the Housing Registry Supplement Application Form
How to fill out the Housing Registry Supplemental Application Form
Who can be a third-party verifier?
Instructions to Third-Party Verifier
Instructions downloading the Housing Registry Supplemental Application Form

Download the Housing Registry Supplement Application Form

The Housing Registry Supplemental Application Form is available from any BC Housing office or you can click here:

Download the Housing Registry Supplemental Application Form

To have the form mailed to you, or for help completing the form, call 1-800-257-7756, or 604-433-2218 in the Lower Mainland or complete the online request form .

How to fill out the Housing Registry Supplemental Application Form

Step #1 - Applicant completes and signs Section A. This provides authorization for the third-party verifier to complete the form and submit it to The Housing Registry.

Step #2 - Give the form to the person you have chosen to verify your current living circumstances.

Who can be a third-party verifier?
A third-party verifier must be familiar with the applicant’s current housing circumstances and cannot be the applicant’s private market landlord or a relative of the applicant.

Click here for a list of accepted third-party verifiers, or contact one of our Housing Assistants at 1-800-257-7756, or 604-433-2218 in the Lower Mainland. Email inquiries can be sent to Applicantinquiries@bchousing.org

Please note: The Housing Registry does not reimburse third-party verifiers for completing this form.

Instructions to Third-Party Verifier:

Step #1 - Complete Part Two, Section A – General Information.

Step #2 - Complete the appropriate sections in Part Two as requested by applicant on page 2

Section B – if applicant is homeless; and/or
Section C – if applicant is fleeing domestic violence or abuse; and/or
Section D – if applicant has a disability or serious health condition that is affected by their current housing.
Step #3 - Complete and sign Section E.

Step #4 - Return completed form to applicant, or submit to:

The Housing Registry
101 – 4555 Kingsway, Burnaby V5H 4V8
Fax: 604-439-4729

Instructions for downloading the Housing Registry Supplemental Application Form
Read all these instructions before downloading the form. (The Supplemental Application Form is in PDF format.)

1. Click on Housing Registry Supplemental Application Form to download the form.

2. The form is opened using Adobe Acrobat Reader software. Click here to download Adobe Acrobat Reader free of charge .

3. Print the application form.

4. Fill out all the information on the form following the instructions on the form and either fax or mail it to your local BC Housing Office. To find the office nearest you, check the Contact Us section of our website at www.bchousing.org. Lower Mainland residents can drop off applications at the BC Housing Home Office listed below.

BC Housing Home Office
Suite 101 - 4555 Kingsway
Burnaby BC V5H 4V8