* Required field Please fill out your contact informations Last name* First Name* Position* ManagerOwnerLawyerOther Precision Entreprise name Complete adress* Telephone number* Email adress* Number of doors* 12 to 56 to 1010 to 2020 to 50more than 50 Next Plaese fill out the informations concerning your dwelling and debtors. Adress of the dwelling concerned* Does the tenant(s) still live in the concerned dwelling ?* YesNo Name(s) of the tenant(s)* Statut du locataire TenantCo-tenantGarantee Date of birth Social insurance number Last known adress Phone number Email adress Social websites profile Contact informations family/friends Employer Banking informations Remove tenant Add a tenant Type of Debt Decision of the Régie du logementJudgement of the court of QuébecSmall claimsUnpaid rentsUnpaid debts Decision number / Judgment Amount of the debt* Collection attempt(s)* YesNo Amount perceived* Amount without decision due Detail of the amount without decision due Lease signed by the tenant(s) YesNo Lease signed by the garantee YesNo Renewal notice / Proof of delivery YesNo Baillif minutes YesNo Decision (certified copy) YesNo Legal proceedings of garnishment and/or expulsion YesNo Up to date ledger (Billing / Payments) YesNo Date of departure of the tenant(s) from the concerned dwelling Date of rerental of the concerned dwelling Copy of the lease of the following tenant YesNo Add another evaluation request Previous Submit
