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; and 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.

Please note: Not all medical conditions require a supplemental application, please contact The Housing Registry for more information before approaching a third party verifier.

Get a Housing Registry Supplemental Application Form by either:
a) Downloading the form and printing it out
b) Calling 1-800-257-7756 or 604-433-2218 in the Lower Mainland to have the form mailed to you
c) Completing the online request form
d) Picking up the form from any BC Housing office location
Fill out and sign Section A of the form. This authorizes the third-party verifier to complete the form and submit it to the Housing Registry on your behalf.
Give the form to your third-party verifier (the person you have chosen to verify your current living circumstances.)
The third-party verifier must follow these instructions:
a) Complete Part Two, Section A - General Information.
b) 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.
c) Complete and sign Section E.
Submit the supplemental application form. Either the third-party verifier or the applicant can submit by either:
a) Mailing or dropping off the form to The Housing Registry at 101 – 4555 Kingsway, Burnaby V5H 4V8 or
b) Fax to 604-439-4729.