Brighton & Hove Housing Application Form Page 9
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168 Repairs
Yes
No
If you are a private tenant or owner/occupier, is your home in a state of disrepair?
If yes, please tick one or more of these boxes and put more details in the box below.
Leaking roof
Damp
Rotting woodwork
Structural problems
Dangerous floor
Faulty wiring
Pest infestation
Communal areas in poor condition
Other, please state below
Does your landlord know about these problems?
Yes
No
Have you informed the council’s private sector housing
Yes
No
environmental health officers about the problem?
If no, do you want the environmental health officers to be told?
Yes
No
If you ticked no to this last question, we will not be able to assess your priority in this category.
If you ticked yes, we will contact the council’s private sector housing environmental health
team and they will visit you to assess the degree of disrepair. You should be aware that the
environmental health officers will contact your landlord about the disrepair in severe cases.
If you are a council or housing association tenant and have concerns about your home, please
contact your landlord.
9 Previous help
Have you or anyone on the application ever received help from the council as an accepted
homeless applicant, in paying a damage deposit or rent in advance, or by providing a guarantee
Yes
No
so that you could rent a property privately?
If yes, please give the name of the person we gave the deposit, rent or guarantee to.
The address for which we supplied the deposit, rent or guarantee to.
The date we gave the deposit/rent/guarantee
The amount of the deposit/rent/guarantee
£
10 Owner occupation
Yes
No
Do you or anyone moving with you own the property you are currently living in?
Do you or anyone moving with you own a property that you are not currently living in?
Yes
No
Please give the following details about the property you own.
£
£
Estate agent’s valuation of your property
Mortgage outstanding
£
Number of years left on the mortgage
Your savings
Please include copies of an up-to-date estate agent’s valuation and a mortgage
statement with your application. If major repairs are needed to your property, please
enclose a building or surveyor’s report.
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