Tenant Contact Form

If you have not previously registered with JSWAP, you will need to do so by completing the online form below. Please note, no further details can be provided unless you have completed a registration form !

1. Personal Details

Please provide details of the tenancy applicants, i.e. the name(s) of the individual(s) who will be responsible for the property. Other residents can be listed in a later section.

Title	First Name	Surname	National Insurance Number	Date of Birth DD/MM/YY	Sex
Mr Mrs Miss Ms Dr					M F
Mr Mrs Miss Ms Dr					M F
Mr Mrs Miss Ms Dr					M F

If allocated accommodation you will be expected to become a legal tenant, either by yourself (a single tenancy), or with others in your household (a joint tenancy). Which type to you wish to have ? Single Joint Marital Status ? Single Married Divorced Co-Habiting Widowed Seperated Have you or any member of the Household any dependants moving with you ? Yes No

Current Address		Correspondence Address (if different)
Post Code		Post Code
Telephone Number (Home)
Telephone Number (Work)
Email Address

Who will be moving with you ? Please give details of everyone apart from the applicant(s) who will be living with you when you move.

Title	First Name	Surname	National Insurance Number	Date of Birth DD/MM/YY	Sex	Relationship to you	Living With You Now
Mr Mrs Miss Ms Dr					M F		Yes No
Mr Mrs Miss Ms Dr					M F		Yes No
Mr Mrs Miss Ms Dr					M F		Yes No
Mr Mrs Miss Ms Dr					M F		Yes No
Mr Mrs Miss Ms Dr					M F		Yes No
Mr Mrs Miss Ms Dr					M F		Yes No

Will the DSS be paying part of your rent ? Yes No

2. Eligibility

Has anyone ever made complaints against you, or a member of your household, in relation to anti-social behaviour committed in, or in the locality of, any home occupied by you at that time ? Yes No Have you or any member of your household ever been convicted of a serious offence committed in, or in the locality of, any home occupied by you at that time ? Yes No If you have answered Yes to either of the above, please give details :- Why do you wish to be considered for JSWAP housing ? Please give details :- Please give details of two people from whom references may be obtained :-

Name		Name
Occupation		Occupation
Address		Address
Telephone Number		Telephone Number
Length of time known		Length of time known

3. Requirements

Please indicate the type of property you require :- Detached House Terraced House Bungalow Flat Any How many bedrooms do you require ? How long do you need the property for ? Please list the areas you would like :- 4. Submission of Application Please tick this box to confirm that all the information you have supplied in this application is to the best of your knowledge complete and accurate. If any information submitted on this form is later found to be false or misleading, it may invalidate your application, or your tenancy, if one has been taken up. Tick to confirm accuracy of information supplied.