Section 1 – 5: About you and who else will be moving with you
Complete these sections in full. Remember to include all persons who currently live with you, their dates of birth and relationship to you. If anyone on your application has a medical condition that will affect your need for housing, please complete the medical assessment at the back of this form.
Section 6: Previous addresses
Please list all your previous addresses in the last three years, starting with your present address. You should provide the full name and address of your current/previous landlord or mortgage provider, with dates and reasons for leaving.
Section 7 and 8: Where do you live now and homelessness
Tell us where you live now. We have a statutory duty to re-house people who are assessed by a local authority as homeless and will not refuse housing unless we have good reason to. Please provide proof of homelessness such as a Notice to Quit.
Section 9: Why you are applying for housing
Please tell us the reason why you are applying for housing. If you are leaving HM Forces, please remember to provide proof.
Section 10: Condition of current housing
Please fill this section in so we know whether you are overcrowded or under occupying. We also need to know the type of heating you currently have and if your home is in need of major repair or is unsafe. Please provide photos if you can.
Section 11: Personal housing needs
Let us know if you are experiencing physical, emotional or sexual abuse, or any kind of antisocial behaviour. Tell us of any caring arrangements you have in place. Please provide evidence where you can.
Section 12 and 13: Areas of choice and housing you want
Tell us where you’d like to move to and what kind of housing you’d prefer. Not all of our housing is let by us – you may have to fill in a Common Housing Register form to apply for housing in some areas.
Section 14: Affordability
You don’t have to answer these questions, however it means we can put you in touch with our Tenancy Sustainment Team (including our Welfare Benefits Officer) at the beginning of your tenancy if you need it. The answers you give won’t affect our offer of housing.
Section 15: Additional information
You must tell us if you or an applicant is a registered sex offender as the application will be subject to our Re-housing of Sex Offenders Policy. You must also tell us if someone has taken court action against you for antisocial behaviour.
Section 16: Checklist
Please go through the checklist to make sure you are sending us all necessary evidence and information.
Section 17: Monitoring
You don’t need to complete this section if you don’t want to. It will in no way affect your application with us. We ask for this information to make sure that no discrimination takes place.
Section 19: Declaration
Please make sure you and the joint applicant (if applicable) sign the form.