Housing Application Form
Download a blank fillable Housing Application Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Housing Application Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4
5
6
7
8DEPARTMENT OF HOUSING
Housing application form
If you wish to apply for public housing, please:
Office use only
1. Complete this form in BLOCK LETTERS in blue or
Received by
....................................................................................
black pen.
Territory Housing office
..............................................................
2. Provide proof of income and bank balance for all
Date
...................................................................................................
household members over 18 years of age.
Group no.
TRIM no.
..................................
...............................
3. Attach all documents requested in the application.
Application checklist
4. Sign the application.
Identification
Yes
No
5. Lodge the application at your nearest housing office or
Proof of residency
Yes
No
email to housingwaitlist@nt.gov.au.
Proof of income
Yes
No
Note: All information you declare in this application will
Bank statements / ATM slip
Yes
No
remain confidential.
Assets
Yes
No
Do you require an interpreter to help you complete this
Property ownership
Yes
No
form?
Previous tenant or applicant
Yes
No
(if yes above please provide group no.)
..............................................
No
Yes
If yes, please indicate your preferred language:
........................................................................................................................
1
Location
Please select the area in which you would prefer to be
housed:
Darwin
Casuarina
Palmerston
Tennant Creek
Nhulunbuy
Katherine
Alice Springs
Part A – Household details
2
Applicant details
Please circle: Mr / Mrs / Ms / Miss
First name:
......................................................................................
Alternative name(s):
Last name:
................................................................................
......................................................................................
Gender:
Male
Female
Date of birth:
...................................................................................
Are you of Aboriginal or Torres Strait Islander origin?
Aboriginal:
Yes
No
Torres Strait Islander:
Yes
No
Do you have a disability?
Yes
No
If yes, select your type of disability (select as many boxes as required)
Psychiatric
Physical
Intellectual
Sensory
Other:
.............................................................................................
SF31 updated: 09/12
1
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business