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 Enjoym't
(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)
$1.6548
(Sec. 6.14.4 IPGHD)
X January CPI
(http://www.statcan.gc.ca/pub/62-001-x/2017001/t034-eng.htm)
___________________________ = Utility Factor
100  
 
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