RESIDENTIAL TENANCIES BRANCH
LANDLORD’S CLAIM FOR TENANT SERVICES SECURITY DEPOSIT OR LESS
Address of rental unitPostal Code
Landlord: / Tenant:Address: / Address:
Postal Code: / Postal Code:
Telephone: / Telephone:
Home / Work / Cell / Home / Work / Cell
Tenant Services Security Deposit Paid:
Amount $: / Date Paid: (month/day/year) / Held by:$ / Landlord Director
Tenancy Terminated:
(month/day/year)
REASON(S) FOR CLAIM AGAINST TENANT SERVICES SECURITY DEPOSIT: / Amount(s) $Tenant Services Charge arrears for the months of:
Months/year / $
Late Payment Fees / $
NSF / $
Other:
$$
$
$
Total Claim
/ $I understand that by signing this form, I am reducing my claim to the amount of the tenant services security deposit and accrued interest.
DateLandlord’s Signature
- 2 -
NOTE TO LANDLORD: If you are sending this claim to the Branch, please attach any evidence you have.
(for example: receipts, invoices, estimates, condition reports, tenancy agreements, photos)
MAKING A CLAIM AGAINSTA TENANT SERVICES SECURITY DEPOSIT
If the landlord holds the tenant services security deposit, the landlord must:
- send the claim to the tenant at their new address or the last address the landlord has;
- return any part of the tenant services security deposit that the landlord is not claiming.
The landlord must do this within 28 days of the termination of the tenancy.
If the landlord and tenant don’t agree on the claim, either may ask the Branch to make a decision on it.
If the Director holds the tenant services security deposit, the landlord must:
- send the claim to the tenant at their new address or the last address the landlord has;
- ask the Branch to make a decision on the claim or, if the tenant has agreed to the claim, give the Branch a copy of the agreement in writing.
The landlord must do this within 28 days of the termination of the tenancy.
If the landlord has a claim against a security deposit or a pet damage deposit, the landlord must complete a:
- Landlord’s Claim for Security Deposit or Less; or
- Landlord’s Claim for Pet Damage Deposit or Less
and follow the steps outlined on these claim forms.
These forms are available from the Branch and online at
Public Record
When the Residential Tenancies Branch holds a hearing, or determines a matter, we issue a decision called an Order. We include reasons for our decision with the Order. Both the Order and the reasons are a matter of public record. Mediated agreements are confidential andnot a matter of public record.