Blue-Green Algae Bloom

As of Dec 19, advisories remain in place for Elk Lake, Thetis Lake, Durrance Lake and Beaver Lake. Details >>

Capital Region Housing Corporation

Proudly Supported by the CRD

Capital Region Housing Corporation

Incident Report Form

To address your concerns, please complete this form and direct it to the:

Onsite staff
Tenant relations staff
Property Manager

We cannot investigate this issue unless your report is completed in full. Your name will be held in confidence unless this matter is subject to Dispute Resolution under the Residential Tenancy Act, a court action, or a police investigation.

Name

Date of incident

Time of Incident

Address (max 500 characters)

Telephone number(s)

Email*

Describe the incident. Please be as specific as possible regarding who, what, when, where; include the name, unit # of the other tenant{s] and/or staff involved. Please state only the facts, not your assumptions, opinions, and/or judgements. (MAX 5000 CHARACTERS)

Were there any witnesses?

Yes
No
Other

If yes, who?

Was a Police Report Filed ?

Yes
No
Other

If yes, please provide the Police File #

How did you handle the problem? (MAX 5000 CHARACTERS)

Did you talk to the person involved?

If so, what was their response? (MAX 5000 CHARACTERS)

Type the code from the image

Freedom of Information

Personal information contained on this form is collected under the Freedom of Information and Protection of Privacy Act and will be used only for the purpose of this transaction.

Housing Corporation Office

631 Fisgard Street
Victoria, BC V8W 1R7
Telephone: 250.388.6422
Fax: 250.361.4970
Email

Access reception via 625 Fisgard Street main entrance

Maintenance Emergencies

If there is a maintenance situation which will damage your suite or the building please call the Housing emergency pager: 250.388.1690

Territorial Acknowledgement

The CRD conducts its business within the Territories of many First Nations, including but not limited to BOḰEĆEN (Pauquachin), MÁLEXEȽ (Malahat), P’a:chi:da?aht (Pacheedaht), Spune’luxutth’ (Penelekut), Sc'ianew (Beecher Bay), Songhees, SȾÁUTW̱ (Tsawout), T’Sou-ke, W̱JOȽEȽP (Tsartlip), W̱SIKEM (Tseycum), and xʷsepsəm (Esquimalt), all of whom have a long-standing relationship with the land and waters from time immemorial that continues to this day.

» Statement of Reconciliation

Proudly Supported by the

Capital Region Housing Corporation

Capital Region Housing Corporation

Incident Report Form

Freedom of Information

Housing Corporation Office

Maintenance Emergencies

Territorial Acknowledgement

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