| EMPLOYEE NAME : | ||
| Unit #: |
Address : |
|
| Per the Isolated Post and Government Housing Directive (IPGHD) | ||
| DEPENDANTS : | ||
| Name of Spouse/Common-Law Partner: | ||
| Name(s) and age(s) of Dependant(s): | ||
| RENT CALCULATION PER IPGHD | |||||||||||||||
| 1. Monthly CSP Appraised Base Shelter Value (BSV) or: | 1 | ||||||||||||||
| Phased-In Base Shelter Value | |||||||||||||||
| 2. Adjustments per IPGHD (if applicable) | |||||||||||||||
| A. Allocation of Accommodation (Sec. 6.7.1) ___ % of Block 1 = Employee without dependants |
2 | ||||||||||||||
| B. Shared Self-Contained (Sec.. 6.7.4/6.7.5) ___% of Block 2 = |
3 | ||||||||||||||
| C. Loss of Privacy/Quiet Enjoyment (Sec. 6.7.6) ___% of Block 3 = 4____________ 3 - 4 = (Not to exceed 50 % of BSV) |
5 | ||||||||||||||
| 3. Utilities (Fuel/Electricity/Water supplied @ 100 %) | |||||||||||||||
| A. Utility Factor (Sec. 6.14.2) | |||||||||||||||
|
|||||||||||||||
| B. Utility Charge Size of unit ___ sq. m. x Utility Factor _____ |
6 | ||||||||||||||
| TOTAL MONTHLY RENT PER IPGHD 5+6= | 7 | ||||||||||||||
Calculation Sheet Prepared by:
| ________________________ Name (Please print) |
_____________________ Signature |
_________________ Date |
|
| The rental period is to commence on the : | _____________________________ | ||
Occupant:
| _________________________ Name (Please print) |
_____________________ Signature |
_________________ Date |