Overcrowding Assessment Form

Latest revision date: June 2023
Revision due date: June 2025


Who is this form for?

Please use this form to tell us information about your current home to assist with our assessment for overcrowding. An example of an additional room is a living room or dining room that is not currently being used as a bedroom. We do not class kitchens, conservatories, or bathrooms as additional rooms.

Protecting your personal data

By completing this form you acknowledge that we will follow our responsibilities under data protection legislation. We will store the information securely, share it with partners and other statutory agencies where we have the right under law to do this, use it only for the purpose it was provided and process it as set out in our privacy policy. For more information please see our privacy policy on our website

It's important to keep your contact details up to date, let us know of any changes at: www.berneslaihomes.co.uk/housingonline
  • Your Details

  • Title

  • First Name

  • Last Name

  • Address

  • Your application reference number:

  • Overcrowding Assessment

  • How many rooms do you have in your current home which are used as a bedroom?

  • Please provide in feet and inches the measurements of all bedrooms

    e.g.: Room 1, Room 2, Room 3, Room 4, Room 5 etc.

  • Do any of these bedrooms have a gas powered or solid fuel heating appliance, not including radiators

  • Not including bathrooms, kitchen, and conservatories, how many additional rooms are there in your house? I.e, living room, dining room, home office

  • Please provide in feet and inches the measurements of all additional rooms

    e.g.: Room 1, Room 2, Room 3, Room 4, Room 5 etc.

  • Do any of these rooms have a gas powered or solid fuel heating appliance, not including radiators

  • Confirmation
  • By ticking the box below, I declare that I fully understand and agree with the following statements:

    - I confirm that I am the housing register applicant.

    - I declare that the information I have given on this form is correct and complete. 

    - I understand that if I have not completed this form fully it may result in a delay in us acting on your request.