Tenant Application Form

For us to help you, you need to be in receipt of Income Support, Child Benefit and Child Tax Credits. We can also help if you are claiming Income Support, Child Benefit and Working Tax Credits if you work 16 hours or less.

If you are interested in becoming a tenant with us, please specify which area you are interested in by selecting it, and complete and submit the form below. Someone will be in touch shortly.

Application

Please specify which area(s) you are interested in:
 

             To select more then one area hold down the ctrl key              

 
If other, please specify:
 

 

  
Full Name: 
Current Address:
Telephone Number:
Email Address:
Date of Birth (dd/mm/yyyy)
What benefits are you claiming?  

 

 

To select more then one, please hold ctrl.

 
Child Benefit Amount (Total)
Child Tax Credit Amount (Total)
Have you lived in the UK for 18 months or more?  
Number of dependant children  
Number of boys under 10 years old
Number of girls under 10 years old
Number of boys aged 11-15
Number of girls aged 11-15
Number of adults 16+ living with you
Do you receive Child Maintenance?
If yes, how much do you receive a week?
Do you receive DLA for yourself or your child?
Do you receive carers allowance?
If you work, how many hours do you work?
How much rent in advance can you get?
Additional information: