Seasonal Housing Inspection Request

Ref Payment Amountfield type currency
$
Ref Thank You Messagefield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Submission Datefield type date
Date will be captured on form submission
The Personal Information on this Seasonal Housing Inspection Request Form is collected under the authority of the Health Protection and Promotion Act and applicable privacy legislation. This information will be used for delivery of public health programs and services and may be used for evaluation or statistical/research purposes. Any questions about the collection of this information should be directed to: Privacy Officer, Southwestern Public Health, 1230 Talbot Street, St. Thomas, ON N5P 1G9 or Phone: 1-800-922-0096
I request a Seasonal Housing Inspection prior to the arrival of the workers. I am aware that the fee for EACH housing address is $90.40 ($80.00 + HST).
Business Name*field type single line
Input blocked. Maximum character limit of 200 characters reached.
Contact Name*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Primary Phone*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Alternate Phonefield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Email*field type email
Address*field type address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Upload Documentationfield type file upload
Drop files here
You have reached the maximum file limit: .
(If this is a brand new bunkhouse, please upload floor plans with measurements)
Payment Options*field type radio button
(payment must be received prior to inspection being booked)
Payment OptionsCheque (to be submitted in person to the health unit or via mail to the health unit)Cash (to be submitted in person at the health unit)Online
Before submitting the form, you will be prompted to pay the required fee of $90.40 ($80 + HST).
*You are not required to create a PayPal account as you may pay using a credit card.

Migrant Worker Housing

Address*field type address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Approximate Arrival Date of the Workers*field type date
Number of Workers Requested*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
NOTE: Inspection by the Public Health Inspector must take place at least three (3) months prior to the workers arrival. The water source must be available at the time of inspection.
Requested Date for Inspection by Public Health Inspectorfield type date
Please indicate if you use the Foreign Agricultural Resource Management Services Program (FARMS)*field type radio button
Please indicate if you use the Foreign Agricultural Resource Management Services Program (FARMS)YESNO
Disclaimer: SWPH does not enforce the Ontario Building or Ontario Fire Codes. For these inquiries, please contact your local municipal inspectors.