Title *
Please Select
Mr
Mrs
Miss
Ms
Dr
Exor
Mstr
Rev
Other
First Name *
Last Name *
Address *
Phone number *
Email Address
Contact Preference
Email
Phone - Morning (8am-12pm)
Phone - Afternoon (12pm-5pm)
Title *
Please Select
Mr
Mrs
Miss
Ms
Dr
Exor
Mstr
Rev
Other
First Name *
Last Name *
Have they ever been known by any other name? *
Please Select
Yes
No
Please give details
*
Are they a British Citizen? *
If no, you will need to provide a copy of their passport and any home office documents
Please Select
Yes
No
Their date of birth *
Their national insurance number *
Their relationship to you *
Please Select
Wife
Husband
Civil partner
Partner
Child
Parent
Grandparent
Grandchild
Other relative
No relation
How long have they lived with you at your address? *
Please Select
Less than 5 years
More than 5 years
Addresses
Does the person wanting to become a joint tenant have any convictions for the following?
Using or possessing drugs (or both) *
Please Select
Yes
No
Supplying drugs *
Please Select
Yes
No
Theft from or damage to our property *
Please Select
Yes
No
Theft from or damage to property owned by a landlord *
Please Select
Yes
No
Burglary or theft from homes, motor vehicles and so on *
Please Select
Yes
No
Racial harassment *
Please Select
Yes
No
Sexual harassment or sexual discrimination *
Please Select
Yes
No
Assault (verbal or physical) *
Please Select
Yes
No
Intimidating or harassing neighbours, residents or our employees *
Please Select
Yes
No
Being evicted for unpaid rent from council, housing association or other landlord-owned property
*
Please Select
Yes
No
Being evicted for noise or nuisance from council, housing association or landlord-owned property *
Please Select
Yes
No
Anti-social behaviour (ASBO) *
Please Select
Yes
No
Any benefit of tenancy fraud. *
Please Select
Yes
No
If the answer to any question is ‘yes’, please give details below of all convictions, including convictions of all those people who want to be rehoused with you. (Do not include minor traffic offences).
We can refuse to put any person on to a tenancy if they have been involved in crime or antisocial behaviour. If you answered ‘yes’ to any of the questions above, it does not necessarily mean we will refuse your application. We consider each case carefully when we are making a decision.
Use this section to upload either:
· a copy of your marriage or civil partnership certificate; or
· evidence that the person wanting to become a joint tenant has lived with you for the last 12 months or more (i.e. DWP letter, utility bill, any official letter with their name and the address on).
You will also need to upload a copy of your signature which you can sign on a blank piece of paper
Documents of proof
By ticking the box at the bottom of this section I declare that I fully understand and agree with the following statements:
- I declare that the information I have given on this form is correct and complete.
- I understand that if you later find that I have deliberately supplied false information or omitted to supply information, we may take action.
- I understand that if I have not completed this form fully it may result in a delay in us acting on your request.
- I understand you may share my information with other agencies to detect and prevent fraud.
*
I confirm