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BC Housing Registry Supplemental Form (REG-005)

Applicants on BC's Housing Registry for subsidized housing can add this optional form when they are homeless, fleeing violence or abuse, or living with a serious health condition affected by their current housing. A third-party verifier describes the situation, and some housing providers give those applicants additional consideration. The Registry uses it to assess eligibility, housing need and which developments suit the household.

Who completes it

The applicant completes and signs Part One, then forwards the form to a verifier who completes Part Two: Section A for everyone, Section D for a health condition or disability, and the signed statement in Section E. For health conditions, accepted verifiers include physicians, registered or psychiatric nurses, occupational therapists and registered social workers.

Submitting and payment

How to submit it
The verifier returns the completed form to the applicant or sends it to The Housing Registry through BC Housing's online Program Upload Form, by mail or by fax. It must accompany or follow a Housing Registry application, or it cannot be processed.
Who pays
The Housing Registry does not reimburse third-party verifiers for completing the form.

Good to know

  • The verifier must know the applicant's current circumstances and cannot be their private-market landlord or a relative; BC Housing's page also excludes friends and neighbours.
  • Section D asks whether the applicant must live near a specific facility for ongoing treatment, such as kidney dialysis, how often they attend and whether they can reach it now.
  • Section A asks whether the applicant can meet tenancy obligations, such as paying rent, caring for the unit and keeping reasonable relations with neighbours, alone or with supports.
  • The form is for The Housing Registry application only, not the Supportive Housing Registry, and each additional verifier must complete a separate copy.

Get the official form

Download the current version from the source each time; forms change without notice.

Housing Registry Supplemental Application Form

Official pagePDF

Fill it with Vero

If your copy of the form is a fillable PDF, upload it once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.

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How this list is checked

A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms change without notice, so download the current version from the official page before you fill it in.

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Frequently asked questions

Who can verify a health condition on the BC Housing supplemental form?

BC Housing lists registered social workers, physicians, occupational therapists and registered or psychiatric nurses for serious health conditions. The verifier must be familiar with the applicant's situation, and other professionals may be considered case by case. Landlords, relatives, friends and neighbours cannot verify.

Does the supplemental form guarantee priority for housing?

No. The form says some housing providers that fill units through The Housing Registry may give additional consideration to verified applicants. BC Housing's page notes that providers decide how to use it, and some non-profit and co-operative providers use other selection methods.

Is the BC Housing supplemental form fillable?

No. REG-005 is a 9-page form to print or type clearly. Its Section E statement confirms the verifier is not a relative or landlord, says how long they have known the applicant, and acknowledges the information will be shared with Registry housing providers.