Apply for a Home

Application Form

1. Your Details

2. Ethnic Origin

3. Why are you applying for a new home?

4. Income details

5. About your present home

6. Your family or household

6.1 Your family or household > People who currently live in the household or who you would like to live with you

6.2 Your family or household > Address of people who want to be rehoused with you

6.3 Your family or household > Details of arrangements for a child/children whose main home is elsewhere

7. About your medical or social needs

8. Where have you lived in the last 5 years?

9. About the home you would like

10. Convictions

11. Actions for anti social behaviour

12. Rent arrears

13. Other information

14. Declaration

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