Notification of Deceased Tenant Webform - Cunninghame Housing Association

Notification of Deceased Tenant

Date Office Advised *

Name of Deceased Tenant *

First

Last

Address of Deceased Tenant *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Date of Tenants Death *

Details of Person (relative/executor) notifying office:

Name *

First

Last

Relationship to Deceased Tenant

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Contact Phone Number *

Date Keys Expected At The Office

Additional Comments In Relation To The Tenancy Termination

Authorisation to clear property

Any belongings should be removed from the house/ garden. Any items remaining within the property will be removed and disposed of by the Association. The costs associated with the removal of such items may be recharged to the deceased tenant’s estate.

Please tick this box if you agree with this statement *

Yes, i understand, and agree

Signature (relative/executor): *

by typing your name here you are digitally signing this form.

Date of Signature

Todays date

Upload copy of Death Certificate

Click or drag files to this area to upload. You can upload up to 3 files.

Please upload a copy of the deceased death certificate ensuring that all details are clear and legible.

Name *

First

Last