Huu-ay-aht First Nations is committed to ensuring citizens have access to a safe and healthy place to live. With this in mind, the upper Anacla subdivision will have a number of housing units available in the future. We ask that citizens fill out this housing application if you are interested in applying for rental housing in Anacla.

By filling out this form, you are not committing to accepting one of the housing units if it is offered, nor is the Nation committed to providing a unit if you apply. There are only a limited number of units available, and we ask that applicants apply early so that the Nation can match up citizen needs with available units. Rental units will be allocated on the basis of need, household income and family size and ages. Citizens should review the new Rental Housing Regulation, which is found on the Nation’s website.

If you have any questions, please send them to:

A. Applicant Information

Additional occupant information (if applicable)

B. Disabilities/Health Issues

Please list any member(s) of your household with significant disability/health issues that Huu-ay-aht First Nations needs to be aware of.

C. Income Information

List your gross monthly income (before deductions) from ALL members of your household and list ALL sources (i.e. social assistance, employment, E.I. pension, child tax benefits, etc.)

D. Residence History

Please list your most recent residential addresses. Note: This information must be completed.

Recent Residence:

E. Present Accommodation

Please describe your present accommodation as completely as possible by filling in the information below:

Does your present accommodation have:

F. Reason For Moving

If you are not under notice, why do you wish to leave?

G. Personal Data

Please list the names of 3 relatives or close friends we can contact in case of an emergency:

H. Declaration

I/We declare:
• This is my application; and,
• All the information provided is correct and completed to the best of my knowledge and belief.
I/We authorize:
• Pursuant to the Protection of Privacy Act (PIPA), Huu-ay-aht First Nations to make any inquiries that are necessary to verify the information given in this application;
• Pursuant to the PIPA Act, any person, corporation, or social agency to release to Huu-ay-aht First Nations any information pertinent to the assessment of my/our application and,
• Huu-ay-aht First Nations may receive and exchange with credit bureaus my/our previous Landlord credit and other information about me/us, will be used in the decision making process to provide me/us with housing/rental accommodation.
I/We understand:
• That this application does not constitute an agreement on the part of Huu-ay-aht First Nations to provide me/us with housing/rental accommodation;
• That it is my/our responsibility to advise Huu-ay-aht First Nations of any changes to the information given in this application and to provide any supporting documents/materials required for my/our application; and,
• If at any time during I/we move or need to update the information given in this application, it is my/our responsibility to contact Huu-ay-aht First Nations and make the necessary changes.