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KLH Housing Corporation

322 Kent Street West

Lindsay ON K9V 4S7

P.O. Box 2600

705-324-6401 ext 3104

Update Income Information Form

Please complete this form if you have a change in income. This could be a new pay stub, receiving OAS or CPP, Empoyment Insurance, or financial assistance, such as Ontario Works, CPP Disabilitiy, or ODSP. For any new changes, please let us know within 30 days as per the fluctuating income policy.

First Name

Last Name

Your Phone Number

Email Address

Please provide details about your income update

Please upload photos or documents to support your income update such as a bank statement or pay stub

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Personal information contained on this form is collected pursuant to the Housing Services Act, S.O. 2011, and will be used for the purpose of processing your information. Questions about the collection of this information should be directed to the Program Supervisor at 705-324-6401 ext 3106

Form Builder

Update Income Information Form

Please complete this form if you have a change in income. This could be a new pay stub, receiving OAS or CPP, Empoyment Insurance, or financial assistance, such as Ontario Works, CPP Disabilitiy, or ODSP. For any new changes, please let us know within 30 days as per the fluctuating income policy.

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