Housing Application Form Page 5
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
8Part C – Housing requirements
8
Current housing situation
Where do you currently live?
Please select all situations that apply to your household:
Community housing
Renting privately
Hotel/motel
Sleeping in the park/river/saltbush/long grass
Refuge, emergency or crisis housing
Living or squatting in a makeshift or illegal building
Living with family or friends
Hostel
Boarding house
Caravan park
Correctional facility
Living in a remote community
Other. Please specify:.......................................................................................................................................
9
Housing need
Why is your current accommodation unsuitable?
Please select all situations that apply to your household:
One or more household members are homeless
There are serious social problems within your household (this may include overcrowding or family breakdown)
Your current housing is unsafe due to domestic and family violence
A household member has serious medical problems that affects your ability to secure private housing
Your current housing lacks essential facilities (e.g. cooking, bathroom, water supply, lighting)
Your current housing location is preventing a household member accessing required essential care or
medical services
Your family unit needs to reunite as they are currently living apart
If you have ticked any of the above boxes, you may be eligible for Priority Housing. Please complete a Priority
Housing application form (SF28) to support your housing application.
None of the above applies to me
10
Support
If you or another household member are receiving support from an organisation or individual, and would
like them to update your details on this housing application, please complete an Authority for Advocate
Representation form (SF12). This will allow your support organisation/support person and Territory Housing
to share information that is relevant to your housing application. This will help to ensure that this application is
accurate and up to date.
11
Additional housing services
Do you also wish to apply for:
Community housing
(rental housing provided and managed by non-government and community organisations)
Managed and supported housing
(community housing with additional support services such as counselling and life skills training)
If you have ticked any of the above boxes, you will need to complete Section 15 to allow Territory Housing to
share your information with community housing providers.
5
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business