Stirling Council Housing And Customer Service Housing Application Form Page 8
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321.8
Harassment
Please tick (4) below.
Are you, or anyone who will be housed with you,
experiencing any form of harassment or abuse, including
Yes
No
domestic abuse, racial abuse, anti-social behaviour etc?
If you have ticked Yes, then please use the space below to give us details:
If you are presently a tenant, have you contacted your
Yes
No
landlord regarding this harassment? Please tick (4)
If you have ticked Yes, we will contact your landlord for further information.
Have you been getting any support or asked for assistance from any organisation because
of the harassment? If Yes, please give contact details, in the table below of the person/
organisation providing you with the support.
Name
Organisation
Job Title
Address
Phone Number
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