Landlord's Notice of Hearing for Possession of ... - Service Alberta

Landlord’s Notice of Hearing for Possession of Premises/ Rental Arrears
Northern Alberta Telephone Hearing Application
File with the RTDRS:
2 page Landlord’s Notice of Hearing form
2 page Landlord’s Statement of Evidence
All documented evidence you intend to use at the hearing (see Evidence below)
This application may be filed with the RTDRS by fax. The RTDRS charges a filing fee of $75.00, this may
be paid by VISA or MasterCard only.
Evidence
• The applicant needs to prove the facts of their case and may use evidence to support their
claim.
• Any documented evidence you attach to your statement should be marked as “items” (e.g. item
“A”, item “B”, etc).
• Types of relevant documented evidence includes: lease or rental agreement, inspection
reports, pictures, receipts, estimates, invoices, utility bills, police reports, health authority
reports, correspondence, etc.
PLEASE READ THE FOLLOWING
This Notice of Hearing must be served on the other party not less then three (3) business days before
the date your application is scheduled to be heard. The three (3) days do not include the day the
document is served, the date the application is to be heard, Saturdays, Sundays, or holidays.
When your application is ready for filing, YOU must send to the RTDRS (by way of fax) the entire
completed application package. The RTDRS will set a date and time for your hearing and send the
application package back to you and you will have to make a copy of the entire application and
serve it onto your tenant.
Please see our fax filing and RTDRS telephone hearing information sheets available
online at www.rtdrs.alberta.ca

Residential Tenancy Dispute Resolution Service
LANDLORD’S NOTICE OF HEARING FOR POSSESSION
OF THE PREMISES/ RENTAL ARREARS
BY WAY OF TELEPHONE CONFERENCE
Case No: 09-________________
Landlord/ Applicant: ______________________________________________________________
Physical Address for Service: ______________________________________________________
City: ____________________________________, Alberta
Postal Code:________________
Phone Number: (_______)________________
Fax Number: (_______)___________________
Tenant/ Respondent: _____________________________________________________________
Physical Address for Service: ______________________________________________________
City: ____________________________________, Alberta
Postal Code:________________
Phone Number: (_______)________________
Address of Rental
Property Located In:
Premises:____________________________________City/Town:__________________________
I am applying to the Residential Tenancy Dispute Resolution Service for an Order
for the following remedies (under the Residential Tenancies Act):
Unpaid rent
Damages for breach of tenancy agreement
RTDRS Filing Fee
Utilities
Other
Compensation for overholding tenant
(Tenants still in the premises after the tenancy has expired or terminated)
Recovery of Possession of Premises
Termination of Tenancy

Information for the tenant from the RTDRS:
You may want to get legal advice about the application. It is important that you are available
to attend the RTDRS hearing by way of telephone. If you do not an Order may be granted
in your absence. If you are unable to attend the hearing and unable to have someone
attend on your behalf please call the RTDRS for other available options.
My claim is for less than $25,000 or I agree to abandon any part of my claim over the RTDRS
jurisdictional limit of $25,000.
I confirm that I have not applied to the Courts on this matter AND I have not been served with a
Court application by my tenant(s). I will contact the RTDRS if I learn that there has been an
application filed with the Courts.
I will be calling__________ witnesses to provide evidence at the hearing.
OFFICE USE ONLY
The date and time of the hearing is:
Date: , 2009 Time: AM / PM
A Tenancy Dispute Officer will contact you at the number provided on this
application form at the time of your hearing. If the number on the application
form is incorrect or not indicated, it is the responsibility of that party to
contact the RTDRS to provide them with a working phone number. The
RTDRS can be contacted toll free at 310-0000 (then 780-644-3000).
Both parties MUST remain available for the telephone call for up to 45 minutes
after the time scheduled for the call.
Phone: Toll free 310-0000 (then 780-644-3000) Fax: 780-644-2266
Filed By: On: , 2009

Landlord’s Statement of Evidence
A copy of the tenancy agreement is (check the appropriate box):
Attached and labelled as Item “A “
There is no written tenancy agreement
Other (specify) .
Termination of the Tenancy (check one of the appropriate boxes below):
The Tenant was served with a Notice of Termination and I am applying to have the termination date
confirmed by the Tenancy Dispute Officer. Complete Sections 1 and 2.
The fixed term tenancy has expired and the Tenant has failed to vacate the premises as of
(enter the date the fixed-term tenancy expired). Complete Section 2 only.
I am applying to terminate the tenancy. (A Notice of Termination has NOT been served on the Tenant)
Complete Section 2 only.
Section 1
The tenant was served with a:
14-day notice of termination for substantial breach
24 hour notice of terminate for significant damage, physical assault or threats to assault the
Landlord and/or other Tenants
Other: Please specify the notice served
Attached and labelled as Item “
“ is the Notice of Termination (most recent notice) that was given to the
tenant by __________________ ________________at am / pm on ,
2009. The Tenant was / is to vacate the premises by , 2009.
The requested possession date is: , 2009.
Section 2
The premises is a residential
House main floor basement suite rooming house
Apartment
Condo/townhouse
Hotel, motel, motor hotel, resort, etc. (longer than 6 months)
Mobile home (tenant does not own the trailer)
Other
Rent per month $ .
Attached and labelled as Item “
charged, paid and owed by the Tenant OR
“ is a statement of account that truly reflects the amounts
The following (Table 1 below) is a statement of account/ledger truly reflecting the amounts charged, paid, and
owed by the Tenant(s).
Table 1:
Table used for rental arrears ONLY; for all other charges please use damages for breach section. Please use
a running total.
Date Item Amount Charged Amount Paid Amount Owing

Total Amount Owing $
NOTE: RTDRS prefers that the actual ledger showing the rent payments be attached to the
Statement of Evidence.
I am applying for damages for breach of the tenancy agreement for the following reasons (All costs
incurred due to the breach, rent is not included in this section):
Total Amount Claimed is: $__________________________
I am applying to terminate the tenancy and obtain an Order of possession for the following reasons:
The requested possession date is: , 2009.
I am applying for compensation for the time the tenant has remained in the premises after they
were to have vacated. The amount claimed is $ /day (monthly rent X 12
months / 365 days).
Attached as Item “ “ is _____________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Attached as Item “ “ is _____________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Attached as Item “ “ is _____________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
If more space is needed for additional items you may attach another page to this application.
Dated this_________ of _____________________, 2009
____________________________________________
Signature of Landlord/ Landlord’s Agent
________________________________
Please print name

Payment Information:
This information is kept secure and confidential.
Credit Card Information:
□ VISA
□ Master Card
Name appearing on Card:___________________________________
Card Number:_____________________________________________
Expiry Date:______________________________________________
I, _________________________________ authorize the RTDRS to charge the $75.00 filing fee onto my credit
card.
________________________________________
Cardholder’s Signature