Tenant Contact Form

1. Personal Details

2. Eligibility

Welcome to our Tenants Form.

By filling out this form, we will endeavour to help you find the right rental property for you. Your details will be secure and will not be handed to any second parties.

If you have not previously registered with us, you will need to do so by completing the form below

† Please note, no further details can be provided unless you have completed a registration form.

If allocated accommodation, you will be expected to become a legal tenant, either by yourself (a single tenancy), or with others in your household (a joint tenancy).
Which type do you wish to have?	Marital Status	Have you or any member of the household, any dependants moving with you?
		Yes No

Current Address		Correspondence Address (if different)

Postcode		Postcode
Telephone Number (Home)
Telephone Number (Work)
Email Address

Who will be moving with you? Please give details of everyone apart from the applicant(s) who will be living with you when you move.

Title

First Name

Surname

National Insurance Number

D.O.B
DD/MM/YYYY

Sex

Relationship to you

Living with you now?

Will the DSS be paying part of your rent?

Please provide details of the tenancy applicants, i.e. the name(s) of the individual(s) who will be responsible for the property. Other residents can be listed in a later section.

First Name

Surname

National Insurance Number

D.O.B
DD/MM/YYYY

Has anyone ever made complaints against you, or a member of your household, in relation to anti-social behaviour committed in, or in the locality of, any home occupied by you at any time?
Have you or any member of your household ever been convicted of a serious offence committed in, or in the locality of, any home occupied by you at any time?
If you have answered Yes to either of the above, please give details

Please give details of two people from whom references may be obtained
Name		Name
Occupation		Occupation
Address		Address
Contact Number		Contact Number
Time Known		Time Known

Please indicate the type of property you require		Please list the areas you would like
How many bedrooms do you require?
How long do you need the property for?
Are you bringing or thinking of bringing any pets to the property?
If so, what kind of pet?
What breed of pet?

Please confirm that the details supplied are accurate