Application for the Return of the Security Deposit

You can only apply after your lease has ended. The processing timeline for submitting this online form is 20 days plus mailing.
If you have moved out before your lease has ended, please contact your landlord to determine the date your leased ended.
When a landlord and tenant have reached an agreement regarding your refund of the security deposit, it is recommended to both complete the security deposit refund agreement form available on our website Security Deposit Refund Agreement. Normal processing time of this form is (up to) 10 days.

* Indicates a required field

Section 1 - Tenant Identification

Tenancy Number

Please note: You can obtain your tenancy number on the top left corner of your copy of the Certificate of Deposit (receipt) issued by the Tenant and Landlord Relations Office. If you don’t know your tenancy number, please complete all sections of this form.

Tenant First Name

Tenant Last Name

Title(Optional)

hereby request the return of my security deposit in the amount of

Is the rental a house or apartment

House

Apartment

Section 2 - Address of the premises in which you are requesting the security deposit for

Postal Code

(Example: E1E1E1)

Civic Number

Street Name (Name Only)

Street Type

Apt. #

Municipality

Province

Landlord's Name

Tenant Email

Landlord's Phone #

Example: (506)555-4567

Landlord's Email

Section 3 - Rental Agreement Details

What date did your lease/agreement begin?

yyyy-mm-dd

What date did your lease/agreement end?
Please note: You can only apply after your lease/agreement has ended.

yyyy-mm-dd

Section 4 - In order to receive your cheque, please provide your new address and Tenant Contact Information

Postal Code/Zip Code

(Example: E1E1E1)

Civic Number

Street Name (Name Only)

Street Type

Apt. #

Municipality

Province/State

Country

Daytime Phone #

Alternate Phone #

Section 5 – Certification and Electronic Signature

CERTIFICATION

I hereby certify that the above information is correct to the best of my knowledge and belief. Anyone who knowingly makes a false or misleading statement in an application is guilty of an offense.

* Click to confirm that you agree with the above statement.

ELECTRONIC SIGNATURE

TYPING IN YOUR NAME AND ELECTRONICALLY SENDING THIS FORM CONSTITUTES YOUR ELECTRONIC SIGNATURE.

Signature

Date (yyyy/mm/dd)