HomeSearch Housing application form - Hull

1 HomeSearch Housingapplication formWrite the main applicant s surname hereIf you already have a Housing application reference number, please give it hereComplete this form to apply to be added to hull City Council s Housing list. Please read the important information on page 2 before you complete the form . We will use the information you give to decide whether you are eligible to be added to thehousing list and the level of priority you can be all answers in blue or black sure you read the declaration and sign the form on page completed form and proofs should be taken to any customer service centre or can also post your form to:FREEPOST RSJC-KKBE-ABXZHomeSearchHull City CouncilHullHU1 2 AAPlease do not send original documents through the you would like some help completing this formplease call into any customer servicecentre or information same day registering serviceis available Monday to Friday at The Wilson Centre,Alfred Gelder Street, hull .

2 This service is available if you bring all of the proofs we need toregister your application (see page 2).For official use onlyRegister no:Input by:Date:Date Stamp:PLEASE READ THESE NOTES BEFORE YOU COMPLETE THIS FORM2 PROOFSWhen you see this symbol in the form it means we need to see PROOFS NEEDED boxes will tell you the proofs we can not send original documents through the post. If you do, this is at your own PROTECTIONAll of the information you provide will be treated confidentially in accordance with the DataProtection Act. hull City Council may share some of the information with other partners forcertain reasons. Please see Section 24 (page 24) for further PERSONAL INFORMATIONIf you have not completed the equal opportunities questions in this form but we already hold thatinformation about you from an earlier application , we will assume that the details we hold havenot APPLICANTSIf you apply as joint applicants and you are offered a property you will enter into a joint means you will have equal rights and responsibilities under the tenancy agreement.

3 Thisincludes you being responsible for paying the full rent and any debts at the end of that tenancy,notjust half. If you want the tenancy in one person s name only, include other adults in section6 (page 10) and do not include a joint carefully read the declaration on page 25 before you sign this application formswill be returned to you for signature. This will delay your you do not provide all of the proofs we need your application may be cancelled or your priority might not be correct for your documents - you will have to provide original documents before we can offer you a property. You will be asked to bring these with you if you are invited to an interview about a NEEDED provide one of the following documents for each personIf you are applying as joint applicants,please state your relationship to each otherPlease read the note about joint applicants on page 2 before completing this section1.

4 YOUR NAME, ADDRESS AND CONTACT applicant: Title (Mr / Mrs / Miss / Ms)Last name:First name(s):Date of birth:National Insurance no:Any other names previously known by:Joint applicant: Title (Mr / Mrs / Miss / Ms)Last name:First name(s):Date of birth:National Insurance no:Any other names previously known by:If you want your post to go to a different address you can tell us this on the next - all documents must be valid/current ldriving licence l passport l residence permitl EU member state identity card l letter from the Department for Work and Pensions l marriage certificate lmedical card l national insurance card l birth certificatePROOF NEEDED we need proof of address for you and your joint applicantADDRESS - provide one of the following for each person (must show your name and address)l recent bank or credit card statement l tenancy agreement l recent utility bill l wage slip l recent council tax bill l official letters Current address:Give the address you are currently living or staying at(even if it is only on a temporary basis)Postcode:Date moved in:/ /Current address.

5 Give the address you are currently living or staying at(even if it is only on a temporary basis)Postcode:Date moved in:/ NO FIXED ADDRESSMain applicant:Joint applicant:Address:4If you do notstay at the same address every night please complete this have no fixed address (please tick)Please list the addresses you stay at(use a separate page if you need more space)2. is your main language?English British Sign LanguageOther (please state) you experience difficulties readingand writing?Yes you able to read and understand English?Yes you need an interpreter to communicate inEnglish?Yes is your main language?English British Sign LanguageOther (please state) you experience difficulties readingand writing?Yes you able to read and understand English?Yes you need an interpreter to communicate inEnglish?

6 Yes NoContact or safe address for post (including postcode)Contact telephonenumber(s):Email address:Contact or safe address for post (including postcode)Contact telephonenumber(s):Email address:You MUST give us at least one method of contacting you (address, email address ortelephone number). We cannot register your application without often you stay:Address:How often you stay:Address:I have no fixed address (please tick)Please list the addresses you stay at(use a separate page if you need more space)How often you stay:Address:How often you stay:PROOF NEEDED we may need to see proof of your immigration acceptable proofs on page 26 of this form for details. We may also ask you for furtherproofs after we receive your form . 3. QUALIFYING PERSONSMain applicant:5 Some people from abroad are not eligible for an allocation of council Housing . The Housing Act1996 and the Allocation of Housing and Homelessness (Eligibility) (England) Regulations 2006set out those persons from abroad who are ineligible for the allocation of need the following information to check whether or not we can add you to our Housing tick the box which best describes your nationalityBritish CitizenCommonwealth CitizenCitizen of EEA/EU country(state which Country)Other (please give detailsof your citizenship) you made an application for asylumsince entering the UK?

7 Yes you subject to immigration control?Yes you are a British Citizen, are you returning tothe UK after a period living abroad?Yes NoIf yes , please statelength of time abroadCountryDate returnedPlease give your reason(s) for returningJoint applicant:British CitizenCommonwealth CitizenCitizen of EEA/EU country(state which Country)Other (please give detailsof your citizenship) you made an application for asylumsince entering the UK?Yes you subject to immigration control?Yes you are a British Citizen, are you returning tothe UK after a period living abroad?Yes NoIf yes , please statelength of time abroadCountryDate returnedPlease give your reason(s) for returning4. EQUAL OPPORTUNITIES MONITORING6 This information helps us to ensure that everyone has fair and equal access to our service.

8 We also need this information to make sure that we do not discriminate because of your gender,sexual orientation, trans status, age, ethnic origin, religion, faith or belief or whether or not youare disabled. We can also use this information to improve our services for our customers. Main is your gender?Male FemaleIs there anything else about your gender youwish to tell us? is your sexual orientation?HeterosexualBisexualGay/Lesb ianOtherPrefer not to your day to day activities limited becauseof a health problem or an impairment that haslasted, or is expected to last, at least12 months?Limited a littleLimited a is your religion?BuddhistChristianHinduJewishMus limSikhNonePrefer not to sayOther (please state) is your Nationality?UK NationalOther (please state)Joint is your gender?Male FemaleIs there anything else about your gender youwish to tell us?

9 Is your sexual orientation?HeterosexualBisexualGay/Lesb ianOtherPrefer not to your day to day activities limited becauseof a health problem or an impairment that haslasted, or is expected to last, at least12 months?Limited a littleLimited a is your religion?BuddhistChristianHinduJewishMus limSikhNonePrefer not to sayOther (please state) is your Nationality?UK NationalOther (please state)7 Main would you best describe your ethnicbackground?WhiteEnglish / Welsh / Scottish / N. Irish / BritishIrish Gypsy or Irish TravellerAny other white background (please specify)Joint applicant:Black or Black BritishAfricanCaribbeanAny other black background (please specify)Mixed / Multiple Ethnic GroupsWhite and AsianWhite and Black AfricanWhite and Black CaribbeanAsian or Asian BritishBangladeshiIndianKurdishPakistani ChineseAny other Asian background (please specify)Arabic or other Ethnic GroupArabAny other ethnic mixed background (please specify)Any other ethnic background (please specify) would you best describe your ethnicbackground?

10 WhiteEnglish / Welsh / Scottish / N. Irish / BritishIrish Gypsy or Irish TravellerAny other white background (please specify)Black or Black BritishAfricanCaribbeanAny other black background (please specify)Mixed / Multiple Ethnic GroupsWhite and AsianWhite and Black AfricanWhite and Black CaribbeanAsian or Asian BritishBangladeshiIndianKurdishPakistani ChineseAny other Asian background (please specify)Arabic or other Ethnic GroupArabAny other ethnic mixed background (please specify)Any other ethnic background (please specify)85. give below the details of any dependent children aged 17 and underyou have. Please continue on a separate sheet if name:First name(s):Date of birth:Gender:Relationship to you:/ /Child s main address:First ChildF/MPROOF NEEDED we need one document from list A and one from list B foreach child. Documents must give the child s name and be A: IDENTITYl birth certificate l passport lresidence permit l national insurance card l EU member state identity card LIST B: CHILD S SOLE OR MAIN HOME IS WITH YOU l Child Benefit or Child Tax Credit letter l court order, letter from a social worker or other official confirmation that the child lives/will live with you CHILD WHO YOU HAVE OVERNIGHT PARENTAL CONTACT WITH l confirmation of the contact arrangements from the other parent, custodian of the child or a solicitorEthnic origin:Religion: the child s main home with you?