Rental Accommodation Inspection Request

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Personal information on this form is collected under the authority of section 23 of the Public Health Act, R.S.P.E.I., Cap. P-30.1, and the Rental Accommodation Regulations under that Act. If you have any questions about the collection or use of this personal information, you may contact Environmental Health, at 902-368-4970 or toll-free at 1-800-958-6400.

Identification
Enter the tenant's information in the fields below.
For example C1B 0X1 or 12345
For example 902-555-5555
Landlord's Information
Enter the landlord's information in the fields below.
For example: C1B 0X1 or 12345
For example 902-555-5555
Complaint Information
What is the problem you are experiencing? For example: no heat, no water, leaking roof, rodent/insect infestation
8 + 5 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.