"Housing Application Form" - Stirling, United Kingdom

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Stirling Council Housing and Customer Service
Housing Application Form
Application No.
Name
Address
Postcode
Introduction
This application form is designed to gather information about you and/or others who wish to
be housed by Stirling Council. We will treat all the information you provide in a sensitive and
confidential manner and in-line with Data Protection legislation.
Who can apply for housing?
Anyone aged 16 years or over can apply for a house/accommodation from Stirling Council.
How do I fill this application in?
In order to help you complete this application form, we have produced an Applicants Guide
which you should read when filling in this form. You should have received a copy of the
Applicants Guide when you received this form. If you have not received an Applicants Guide
please contact us on:
Stirling Council 0845 277 7000
Stirling Council Housing and Customer Service
Housing Application Form
Application No.
Name
Address
Postcode
Introduction
This application form is designed to gather information about you and/or others who wish to
be housed by Stirling Council. We will treat all the information you provide in a sensitive and
confidential manner and in-line with Data Protection legislation.
Who can apply for housing?
Anyone aged 16 years or over can apply for a house/accommodation from Stirling Council.
How do I fill this application in?
In order to help you complete this application form, we have produced an Applicants Guide
which you should read when filling in this form. You should have received a copy of the
Applicants Guide when you received this form. If you have not received an Applicants Guide
please contact us on:
Stirling Council 0845 277 7000
What does P next to a question mean?
In order to proceed and process your application - we may require you to provide ‘Supporting
Evidence’. If a question has this symbol (P) beside it, you will need to provide written proof
to allow points to be awarded. The Applicants Guide details the proof that you will need to
supply to us with your completed application form. If you are unable to provide us with proof
required, it may delay the processing of your application.
Further Information and Help
Stirling Council is happy to offer you any information, advice and assistance that you may need
to complete this form. If you would like additional support to complete this application please
contact us, contact details can be found on the back page of this form.
Communication Requirements
Please tell us below if you need any special help or assistance with communication.
Main Applicant
Joint Applicant
Please state the first language of:
If we contact or visit you, do you need an interpreter or someone to help you with
communication? Please tick (4)
An interpreter?
Yes
No
Yes
No
A translator?
A signer or lip speaker?
Yes
No
If you have ticked yes (4) please use the space below to tell us more
Are you Homeless or do you expect to be homeless within the next 56 days?
Please tick (4) the boxes below
1. Are you homeless?
Yes
No
2. Do you expect to be homeless
Yes
No
within the next 56 days?
If you have answered Yes to question 1 and you consider yourself
to be homeless please contact us:
Stirling Council Contact Centre 0845 277 7000 and
ask for the Homelessness Team
The Homelessness Team will assess your housing situation and
advise you on your housing options.
Please continue to complete and submit this application form.
If you have ticked Yes, to question 2 we will contact you within
5 working days of receipt of this application to discuss your
situation and advise you on your housing options. Alternatively
you can contact us:
Stirling Council Contact Centre 0845 277 7000 and
ask for Housing and Customer Service
Please continue to complete and submit this application form.
Section 1 - About You
1.1
Your Details
Please provide all information in block capitals. If more than one adult is applying for
housing, we will normally give you a joint tenancy. If you are applying jointly please complete
the joint applicant’s column in the table below.
Main Applicant
Joint Applicant
Title (e.g. Mr, Mrs, Ms, Miss etc)
Surname
First Name
/
/
/
/
Date of Birth
National Insurance Number
Current Address (P)
Postcode
Please tell us the date you moved to
your current address
If you have no fixed address, write
‘No Fixed Address’ and please ensure
you give us an address where we
can send you mail (complete the box
below.)
Do you want your mail to go a
different address? If yes, please
provide an address and postcode.
Home Telephone Number
Work Telephone Number
Mobile Telephone Number
Email address
Are you currently a tenant of another
landlord? For example a private
landlord, Housing Association etc
Answer Yes or No
If you have answered Yes to the
above, please tell us the name of
your current landlord
Have you ever applied to Stirling
Council or another Registered Social
Landlord for housing? If yes -please tell
us your name when you last applied
1.2
Support
Is there anyone that you would like us to contact about your housing application form, for
example a social worker, nurse, health visitor, support worker, and who you are happy for us
to share information about your application status and your housing situation? Please tick (4)
the box below.
Yes
No
If you have ticked Yes then please give us their details. Please tell us their professional
relationship to you for example, social worker, support worker, health visitor.
Name
Address
Telephone Number
Professional Relationship
1.3
Asylum and Immigration
(P)
If this section applies to you, please refer to the Applicants Guide for more information. You
will be required to supply supporting evidence if this question applies to you.
Please tick (4) the boxes below
Do any immigration controls apply to you or someone who will
Yes
No
be moving with you?
Are there any conditions or limits on the permission you or
Yes
No
someone living with you has to enter or stay in the UK?
Are you lawfully present in the UK due to refugee status or do
Yes
No
you have leave to remain?
1.4
Management of Offenders (Scotland) Act 2005
Are you or anyone to be housed with you, required to register with the Police under the Sex
Offenders Act 1997 and Sexual Offences Act 2003?
Please tick (4) the box below
Yes
No
If Yes you are obliged to provide us with details of the person registered. Failure
to do so could prevent you from being awarded a tenancy, or you could lose any
tenancy offered or accepted by you.
Name of Person Registered
Current Address

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