Residence Reference Request

This form is intended for residents requiring proof of tenancy letter for their future landlord applications.

Upon approval, letters will be forwarded to applicants via email.

Date * / MM / DD YYYY
Name * First Last
Please enter your legal name or exactly as it appears on your YU-card (if applicable). Please do not enter any nicknames or names that are not on file with Housing & Conference Services.
York University Student Number (if applicable)
Must be 9 digits. Currently Entered: 0 digits.
I am a: *

I am a: Leaseholder Registered sharer
If you are a sharer, indicate the date that you moved in. / MM / DD YYYY
York Apartments Building *
Unit Number *
Maximum of 20 words allowed. Currently Entered: 0 words.
Phone *
Email Address *
Please upload a copy of your government-issued Photo ID here. *

Attach Files Attach Files
Declaration and Consent *
I confirm that I am the leaseholder/registered sharer of the above indicated apartment unit. I confirm that I am giving Housing & Conference Services permission to release information regarding my residence history at York University including but not limited to rent payments, conduct and concerns history Pursuant to the Freedom of Information and Protection of Privacy Act, I give my consent to York University to use and disclose my personal information as noted above.
Leaseholder/Registered Sharer Signature *

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