Landlord’s Application for Dispute Resolution

For RTB use only: File #_____________________

This application is being made under the Manufactured Home Park Tenancy Act
This application is being made under the Residential Tenancy Act

Landlord(s) (Applicant(s): The person asking for dispute resolution)

If additional space is required to list all parties, use and attach “Schedule of Parties”, form #RTB-26.

Last name or the full legal business name First and middle names

Last name (if more than one landlord, also use form #RTB-26) First and middle names
Applicant Address (address for service of documents or notices – where material will be given personally, left for, faxed, or mailed)

Unit/site # Street # and street name City Province Postal Code

Daytime phone number Other phone number Fax number for document service
Yes, a Schedule of Parties (#RTB-26) is being used to add more Applicants to this application and it is attached.
Yes, the Mailing Address is different from the Applicant Address, and it is attached.

Dispute Address (address of the rental unit or manufactured home site)

BC
Unit/site # Street # and street name City Province Postal Code

Tenant(s) (Respondent(s): The other party to the dispute)

If additional space is required to list all parties, use and attach “Schedule of Parties”, form #RTB-26.

Last name First and middle names

Last name First and middle names

Respondent Address (address for service of documents or notices – where material will be given personally, left for, faxed, or mailed)

Unit/site # Street # and street name City Province Postal Code

Daytime phone number Other phone number Fax number for document service
Yes, a Schedule of Parties (#RTB-26) is being used to add more Respondents to this application and it is attached.
Yes, the Mailing Address is different from the Respondent Address, and it is attached.

TO FILE THIS APPLICATION:

1. On this page, fill in the information boxes.
2. On page 2, check the boxes that apply to your request, provide details and sign at the bottom.
3. Submit your application in-person at:
• RTB Burnaby: 400 – 5021 Kingsway • RTB Kelowna: 305–478 Bernard Avenue
• RTB Victoria: 1st floor, 1019 Wharf Street • Any Service BC-Government Agents Office
• Applications may also be submitted online at www.rto.gov.bc.ca.
• Do not give a copy of your Application to the Respondent(s) until the Residential Tenancy Branch accepts RTB use only – date stamp &
it and you have paid the application fee or obtained a fee waiver. initial

Ministry of Housing and Social Development

Residential Tenancy Branch
Lower Mainland: 604-660-1020 Victoria: 250-387-1602 Elsewhere in BC: 1-800-665-8779
Website: www.rto.gov.bc.ca
#RTB-12-L (2009/09)
 Landlord’s Application for Dispute Resolution
Page 2
For RTB use only: File #_____________________

Nature of the Dispute

Ending tenancy, and seeking an Order of Possession:
Notice to End Tenancy
When the dispute involves a Notice to End Tenancy, the Notice to End Tenancy must be given to the tenant
before applying for Dispute Resolution and the Notice to End Tenancy must be submitted to the Residential
Tenancy Branch.
Date the Notice to End Tenancy referred to in this Application was served:
How was it served?
Reason for ending tenancy:
Employment with landlord has ended ................................................................................... OPE
The tenant has not paid rent or utilities ................................................................................. OPR
The landlord wants the unit or property for another use ........................................................... OPL
The landlord has cause, as described in the Act, regulation (state section in the ‘Details of the
Dispute’ box below), or tenancy agreement (provide a copy) ................................................... OPC
The tenant does not qualify for subsidized housing ................................................................. OPQ
The tenant has breached an agreement with the landlord (provide a copy of agreement) ............. OPB

Monetary Order:
For damage to the unit, site or property ................................................................................ MND
For unpaid rent or utilities ................................................................................................... MNR
To keep all or part of pet damage deposit or security deposit .................................................... MNSD
For money owed or compensation for damage or loss under the Act, regulation or tenancy agreement ..... MNDC
The request for a Monetary Order is for the following amount:
$
Provide a detailed calculation of the amount in the ‘Details of the Dispute’ box below.

Other
Recover filing fee from the tenant for the cost of this application ............................................... FF
Serve documents or evidence in a different way than required by the Act .................................. SS
End Tenancy Early and obtain an Order of Possession.............................................................. ET
Other (provide details in the ‘Details of the Dispute’ box below) ............................................... O

Details of the Dispute

In two or three sentences, describe the issue. Include any dates, times, people or other information that says who,
what, where and when the issue arose or the event occurred. When you are asking for a Monetary Order, include a
detailed calculation. Attach a separate sheet if necessary. Any additional sheets must be signed.

Signature: _____________________________________ Date: _________________________

Print name: ___________________________________________________________________

The personal information recorded on this form is collected under the authority of s. 59 Residential Tenancy Act and s. 52 Manufactured Home
Park Tenancy Act for the purpose of administering the Acts. The information may be disclosed to the public in accordance with the
Freedom of Information and Protection of Privacy Act. Questions about the collection of this information may be directed to an Information Officer:
Lower Mainland 604-660-1020 Victoria 250-387-1602 Elsewhere in B.C. 1-800-665-8779