Mutual Exchange Application

Latest revision date: August 2020
Revision due date: August 2021


Who is this form for?

Its for any tenant who has found another tenant to exchange homes with. Both you and the person you are exchanging properties with will need to fill in this form. You must not exchange homes until we have approved the exchange.

Protecting your 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 www.berneslaihomes.co.uk
  • Your personal details
  • Title *

  • First Name *

  • Surname *

  • Date of Birth *

  • Previous Surname (if applicable)

  • National Insurance Number *

  • Current Address *

  • When did your tenancy start?

  • Landline Phone Number

  • Mobile Number

  • Email Address

  • Are you or anyone who will live with you related to a Barnsley Council Councillor or an employee of Berneslai Homes or Barnsley Council?

  • Give details

  • Are you a joint tenant?

  • Joint Tenant Details
  • Title *

  • First Name *

  • Last Name *

  • Date of Birth *

  • National Insurance Number *

  • Your current home's details
  • Which best describes the type of property you live in

  • How many bedrooms are in the property

  • What type of heating do you have

  • What bathroom facilities does the property have?

  • Does the property have any of the following adaptations or special features (Please tick all that apply) *

  • Are you a Berneslai Homes tenant

  • Who is your landlord

  • Their Address

  • Their phone number

  • About your household
  • Please give details of the people who live with you at your present address and will be moving with you.

  • Are you or anyone who will move with you pregnant?

  • Who is pregnant?

  • When is the baby due?

  • Does anyone in your household get professional support?

  • Who do they get support from?

  • Please give the names and contact details of the people giving support

  • Have you or anyone living with you, been convicted of the following offences?
  • Using or possessing drugs

  • Person’s full name

  • Date of conviction

  • Sentence

  • Supplying drugs

  • Sentence

  • Person’s full name

  • Date of conviction

  • Theft or damage to our property or property owned by a landlord

  • Person’s full name

  • Date of conviction

  • Sentence

  • Burglary or theft from homes, motor vehicles and so on

  • Person’s full name

  • Date of conviction

  • Sentence

  • Racial harassment

  • Person’s full name

  • Date of conviction

  • Sentence

  • Sexual harassment or sex discrimation

  • Person’s full name

  • Date of conviction

  • Sentence

  • Assault (verbal or physical)

  • Person’s full name

  • Date of conviction

  • Sentence

  • Intimidating or harassing neighbours, other residents or employees *

  • Person’s full name

  • Date of conviction

  • Sentence

  • Being evicted from a rented home for not paying rent

  • Person’s full name

  • Date of conviction

  • Sentence

  • Being evicted from a rented home for causing a nuisance

  • Person’s full name

  • Date of conviction

  • Sentence

  • Antisocial behaviour

  • Person’s full name

  • Date of conviction

  • Sentence

  • Any other convictions (apart from minor traffic offences)

  • Person’s full name

  • Date of conviction

  • Sentence

  • About the exchange
  • Why do you want to exchange? (You can tick up to three reasons)*

  • If other please give further details below:

  • Please tell us the full name of the person you want to exchange with
  • Title *

  • First Name *

  • Last Name *

  • Their address

  • Their phone number

  • Did you use House Exchange to find this exchange?

  • How did you find this exchange?

  • Contact you
  • How do you want us to contact you to arrange to inspect your current home?

  • Is there anything we can do to make things easier when we contact you? (For example – if you have difficulties with your hearing, sight or speech)?

  • Please give details

  • Which language do you prefer to use?

  • If so, which language?

  • Confirmation
  • 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

    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 that you may contact me if you need to discuss the matter further.

    • 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.

    • If the exchange is approved, the property I move into will be my only and permanent home.

    • I give permission to you to contact my existing and previous landlords for details about any tenancies I have held and for my landlord or former landlord to disclose that information to Berneslai Homes.

    • I give you my permission and understand that you may need to get information from other organisations for the purpose of checking this application. These include but are not limited to the probation Services, health authority, social services, education services, housing services, the Police, courts and other local directorates.