Brighton & Hove Housing Application Form

ADVERTISEMENT

homemove
Office Use only
Name:
Reference:
choice based lettings in Brighton & Hove
Brighton & Hove Housing Application Form
This is the housing application form for Brighton & Hove City Council and the
housing associations working in the city.
You must keep the Homemove Team informed of any changes to your household,
medical condition, or housing situation. This is very important as it could result in a
change of your band or your eligibility for certain homes.
Please read the declaration below and then sign at the bottom
Please read the declaration below and then sign at the bottom
The details given on this form are true and correct. I will inform Brighton & Hove City Council if any
of these details change. I understand that any changes may alter my entitlement to housing.
I agree that my information can be shared, on a need to know basis and in strict compliance
with the law, with other people or organisations involved in my care or caring role. I agree that
any agency I have ticked in Question 14 ‘Receiving and giving support’ may be contacted.
I understand that the organisations who may be in a position to offer me housing may check
the details on this form and that the council may also share the information with other
agencies who manage public funds. I agree that any relevant information may be given to these
organisations to help them consider my case. I also agree that my file will be passed to these
organisations if I am to be rehoused by them. I also understand that references may be obtained
from private sector landlords.
I agree that Brighton & Hove City Council can contact all the organisations where I have held
previous council or housing association tenancies to check details.
I understand that my application may be cancelled if I give false or misleading information,
or if I withhold information. If I am granted a tenancy because I have given false or misleading
information, or because of information I have not given, I understand that my tenancy may
be terminated and I may have to pay a fine of up to £5,000 under Section 171 of the 1996
Housing Act.
I agree that the details given on this form can be used in the decision about any homeless
application I may make under Part VII of the 1996 Housing Act. I understand that if I make a false
statement, withhold information or fail to tell you if my circumstances change, it is an offence and
I may be subject to a fine of up to £5,000 under Section 214 of the 1996 Housing Act.
Applicant’s signature
........................................................ Date ...............................
Joint applicant’s signature
........................................................ Date ...............................
If this form has been completed by anyone other than the main applicant, please give details below.
Completed by ...................................................... (print) Signed ...........................................
Relationship to main applicant .................................................................................................
1

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Business