Permission to Reside webform - Cunninghame Housing Association

Application For Permission to Reside

Tenant Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Contact Phone Number *

Contact Email

Date of Application

Details Of Person Moving In

Name of Person Moving In *

First

Last

Sex of Person Moving In

DOB of Person Moving In

NI Number of Person Moving In

Relationship to Tenant

Economic Status of Person Moving In

Income Details Of Person Moving In

Occupation/Benefit Type

Hours Worked Per Week (if applicable)

Employers Full Name and Address of Person Moving In

Tenant Agreement Statement

As a tenant, you must understand that by receiving permission for the someone to live with you, you may be liable for a non-dependency charge and your housing benefit may be amended in line with this. You agree to make sure that the non-dependency charges are paid to your rent account. You understand that if you fail to pay as agreed, the Association’s Arrears Policy and Procedure will be carried out.

Tenant Signature *

By typing your name in this field you are digitally signing and agreeing to the above statement.

Date

The proposed people wishing to stay understands that Cunninghame Housing Association Limited will need to take reasonable steps to make sure that the information given is accurate. This may include checking tenancy reports from present/former landlords. The proposed people wishing to stay gives authorisation to seek any suitable references.

Signature of Proposed Person Wishing to Reside: *

By typing your name in this field you are digitally signing and agreeing to the above statement.

Date