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HousingApplication

FormAngus Common Housing Register

Angus Council 09/18

Name

Ref: No.

3

Your Housing OptionsThere are various options when you’re searching for a new home. Take 15 minutes to find out what your housing options are before you apply.Type www.angus.gov.uk/wizard into your web browser to open our housingoptions web page if you haven’t already done so. The page takes you througha series of questions looking at what housing options meet your needs so you can then decide if social housing is right for you. You can use libraries and Access offices throughout Angus to access thiswebsite (www.angus.gov.uk/wizard).

Who you are applying toYou’re making one application to four landlords with over 10,000 homesacross Angus. Each landlord uses a Common Allocations Policy (CAP) to decidehow it allocates available homes and to whom. A Common Housing Register(CHR) is the computer system we use to hold the details of around 4,000people who’ve applied to us for housing.

If you have rent arrears or housing related debtYou’ll still get on to the housing list but you won’t get an offer of housing fromus. We call this ‘deferring your application’. We expect you to get in touchwith your landlord and agree an amount you’ll pay and when you’ll pay it,make your payments when you said you would and continue to pay. We willremove your deferral if you do this.

We review deferred applications every three months but it’s your responsibilityto tell us when you’ve made an agreement with your landlord and whenyou’ve made regular payments over the last three months. We will check whatyou tell us with your landlord. Your application will stay deferred if you don’tmake regular payments or you miss a payment.

Read the questions carefullyNobody likes long forms but there’s a lot of information we need from youbefore we can put you on our CHR. We’ve laid out the form in sections butnobody has to answer every section: if you read the instructions at thebeginning of the section, they’ll help you decide if you need to answer it ormove on to the next section. We will not process your application without allthe information we need.

Need help?We’ve included some guidance on most pages to help you fill out the formand to explain some of the words and terms we use. You can ask us for helpto complete the form if you need it.

SymbolsWhen you see this symbol ☺ it directs you to information to help you completethe form or provides you with advice and guidance about steps you need to take.

How to complete the formPlease write or tick in the white, non-shaded parts of the form. Writeclearly and in BLOCK CAPITALS with blue or black ink because wewill scan your form.

You need to keep your application up-to-date. If any information in this formchanges, please get a Change of Circumstances form from a local ACCESS office, complete it telling us about the changes and hand it back toan ACCESS office. Your application will then be updated.

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Title First Name or Names SurnameAny other name or names

you are known byDate of Birth

(DD/MM/YYYY) GenderM/F

Ethnicorigin

LivingAway

Section A About you, your partner/other applicant and everybody that will live with you.

For ethnic origin please refer to the table below.

☺�Your child or childrenA child or children are only treated asliving with the parent/guardian that istreated as responsible for them andprovides their main home. If there is anydispute about where the child is normallyresident, we will take the parent/guardian who receives child benefit to bethe main carer.

☺ Ethnic OriginWe ask for information about your ethnicorigin because by law we have to ensurepeople have fair access to housing and theservices we provide. Ethnic origin describesyour racial origin. It is not the same as yournationality. For example, describing yourself.

White A2 Nation A8 Nation Asian Black Other

Code Code Code Code Code Code

Scottish W Bulgarian B Czech Republic CZ Bangladeshi AB African BA GypseyTraveller

GT

English WE Romania R Estonia E Pakistani P Black Other BO Mixed M

OtherBritish

WOB Hungary H Chinese Code Caribbean BC

Irish WI Latvia LAT Asian other AO Arab ARA

WhiteOther

WOB Lithuania LIT Indian I

Welsh WW Slovakia SL

Slovenia SLO

Polish POL

Foreign Nationals - We need to see and take copies of your original passport and –Y N

• Proof of employment over 5 years

• Proof of self-employment over 5 years

• Proof of income related benefits entitlement over 5 years

• Birth certificates of dependent children (if app)

• Supporting information from university/college (if app)

• Proof of any addresses over 5 years

• Confirmation from DWP registed as a job seeker (if app)

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National Insurance Number (for everyone 16 and over)

How is this personrelated to you?

Tick the box if this person is either This person’s first language(like English or Chinese)pregnant disabled

Do you have a bank account? YES NO

Do you have access to the internet? YES NO

How do you access the internet?

Are you or anyone in your household an Approved Foster Carer?

Yes No You must provide a copy of a contract or a letter from the fostering agency.

How many children can you foster at one time?

Please provide proof of identity for all persons included in this application.

☺ Bank AccountsProviding this information will allow us to give you the opportunityto pay by direct debit.

☺ Internet accessUniversal Credit will gradually be introduced in the UK from October2013 and will be completed by 2017.

Universal Credit is a new benefit that has started to replace 6existing benefits with a simpler, single monthly payment if you’re outof work or on a low income.

Universal Credit will eventually replace:

� Income-based Jobseekers Allowance

� Income-related Employment and Support Allowance

� Income Support

� Working Tax Credit

� Child Tax Credit

� Housing Benefit

Universal Credit has to be claimed on-line. Providing us withinformation about internet access will help us identify those who willbe affected when Universal Credit is introduced.

☺ If you are pregnantWe will count any unborn child as part of your household from thedate you provide us with proof of your pregnancy from someone likea doctor or midwife. Housing Benefit will not pay for the extrabedroom if you are allocated a property before the baby is born.

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We need an address and a postcode where we can write to you.

This will usually be your current home but there may be a reason why you want us to write to you somewhere else.

Address

Postcode

We need some other way of getting in touch with you and the way you’d prefer us to get in touch.

Preferred (please tick)

Your home phone number

A mobile phone number

An email address

Communication

Do you have communication needs?

No Yes please tick a box/boxes

Braille Translation Large print

Other Specify

Senses

Tick box/boxes if there are sensory difficulties

Partially sighted Deaf/Blind Verbal impairment Hearing impairment

Other Specify

Section B Contacting you.

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If someone acts for you we’ll send all mail to that person and contact them about anything to dowith your application including any offer of housing.

We will need information about anyone who acts on your behalf.

Name

Their relationship to you

Address

Postcode

We need other ways of getting in touch with them.

Their home phone number

A mobile number

An email address

Section C Is someone acting on your behalf?

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Your partner/other applicant must complete Section E if you don’t live together and want to.

Property Address

Postcode

When did you move in? month year

Number of single bedrooms Number of double bedrooms

Are you …an owner? …living there temporarily? …renting?

Describe the property.

A house/cottage A flat A caravan A sheltered home

A houseboat I have no home

The access level

Ground floor First floor Second floor Third floor or higher

Is there a lift?

Yes No

Have you lived there for three or more years?

Yes No (complete Section F)

Do you own/rent any other properties?

Yes (complete Section F) No

Section D Where you’re living now.

☺ What is a Double Bedroom?110 sq. ft. or more.

☺ What is a Single Bedroom?less than 110 sq. ft.

We need to know if you don’t have one or more of these facilities.

Tick every box that applies

Drainage Fresh hot and cold running water An inside toilet Bath/shower

Safe electric supply Facilities to cook Adequate natural or artificial light Double glazing

Central heating Adequate ventilation Access to external doors and out-buildings

Adequate thermal insulation

Has a damp survey showed evidence of dampness? Yes No

Is there a demolition order against the property? Yes No

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Section E Where your partner/other applicant lives if they aren’t living with you now.

Your partner/other applicant must complete this section if you don’t live together.

Property Address

Postcode


Number of single bedrooms Number of double bedrooms

Are you …an owner? …living there temporarily? …renting?

Describe the property.

A house A flat

A caravan A sheltered home

A houseboat I have no home

The access level

Ground floor First floor

Second floor Third floor or higher

Is there a lift?

Yes No

Have you lived there for three or more years?

Yes No (go to Section G)

Do you own/rent any other properties?

Yes (complete Section G) No

☺ Your partner/other applicant must complete Section Eif you’re not living together at the time you apply.

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We need you to complete this section if you haven’t lived in your current home for the last three years or ifyou currently own or rent any other properties other than your current address.

Do/did you rent this property, own it or were you living with someone temporarily?

I rented I owned This was temporary Living in the family home

Address 1 (include the name and address of the landlord if you were a tenant)


When did you leave? month year

Why did you leave?

Did you rent this property, own it or were you living with someone temporarily?





Why did you leave?






Why did you leave?

Section F Where you’ve lived for the last three years

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Section G Where your partner/other applicant has lived for the last three years?

Your partner/other applicant must complete Section G if you haven’t lived together for the last three years.

You partner /other applicant must tell us about where they have lived over the last 3 years (if notwith you) or if they currently own or rent any other properties other than their current address.

Do/did you rent this property, own it or were you living with someone temporarily?





Why did you leave?






Why did you leave?






Why did you leave?

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This section is in four parts. The part you complete depends on whether you rent your home,(Part A), live somewhere temporarily (Part B) own your home (Part C) or have been asked to leaveyour home (Part D). You don’t have to complete every part but you must complete one part.

Part APlease tick the box that applies to you whether you own, part own, rent from the Council or a Housing Association (H.A.), rentfrom a private landlord, you rent in a tied tenancy that comes with your job.

You’ll need to provide your landlord’s name and address if your landlord is listed in column C.

Column A Column B Column C

Angus Council Angus H.A. Another Council

Blackwood Homes Bield H.A. Your employer

Caledonia H.A Tenants First Another H.A.

Hillcrest H.A. Trust H.A. A private landlord

Cairn H.A Other landlord

Armed forces

Owner occupier

Shared ownership

Landlords name

Address

Postcode

How many months is your lease for? (tick one box)

6 months or less 6-12 months 12 months or more

Tenancy comes with my job No fixed term

Section H. Some more information about your current home.

☺ Have to leave your home?We’ll need some more information from you. We need copies of:

� Your lease.

� Your Notice to Leave and any letter your landlord gave orsent to you with the Notice.

� A copy of Notice AT5 (for private tenants with a ShortAssured tenancy).

Take your documents and your completed application form toone or our local ACCESS offices. If you don’t have copies ofwhat we need, they will copy the documents for you.

Your landlord cannot just ask you to leave your home.

He or she must give you written notice that gives you at least28 days to find another home. If you have an Assured orPrivate Residential Tenancy your landlord must have groundsfor eviction.

You do not have to leave when the notice period has ended;your landlord must get an eviction order from the first tiertribunal to remove you.

Your landlord commits a crime if he or she tries to force youout of your home without an eviction order.

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Part B For anybody living somewhere temporarily.Which of the following best describes where you are living?

Tick the box that applies to you

‘looked after’ (in care)

In supported accommodation

Living with family/friends

In hospital, residential care or a nursing home

In student accommodation

In temporary housing provided by Women’s Aid

Homeless/temporary accommodation

In a bed and breakfast/hotel

In a hostel provided by a charitable organisation

Sub-tenant

House in Multiple Occupation (HMO)

In prison

Do you share any of the following facilities?

Bathroom Kitchen

Living room Toilet

☺ House in Multiple Occupations (HMO)Is a property rented out by at least three unrelated peoplewho share a toilet or bathroom and kitchen.

☺ Sharing facilitiesYou live with someone or a group of people you are notrelated to and you share a toilet, bedroom, kitchen or livingroom (e.g living in a B & B).

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Part C For anybody that owns/part owns their home.Which of these best describes your circumstances?

Tick the box that applies to you

I own my home: there is a mortgage or secured loan

I own my home: there is no mortgage or secured loan

I own part of my home in a shared ownership scheme

Answer these questions

Your current stake

The name and address of the organisation you share ownership with:

Their name

Address

Postcode

%

☺ Shared Ownership SchemesThis is an arrangement where you share ownership of yourhome with a housing organisation, with you having theoption to buy a greater share at fixed points. It doesn’t mean sharing your home with your partner, other relative,relative or friend.

Section H continued

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Part D Have you been asked to leave your home?Have you been asked to leave your home?

Yes No

If yes, answer the questions that apply to you:

Are you renting your home?

Yes Answer these questions:

Has your landlord or their agent sent you a Notice to Leave? Yes (we will need a copy of this) No

When did you get the notice? (write the date)

What date does the notice say you have to leave by? (write the date)

Are you a service or tied tenant and leaving your job?

Yes Answer this question:

When will you be leaving your job? (write the date)

Do you own your home: there is a mortgage or secured loan or own part of your home in a sharedownership scheme?

Yes Answer these questions:

Have you a calling-up notice or has the court granted a decree? (a copy of this is required) Yes No

If yes, answer these questions:

When did you get this notice or decree? (write the date)

When does the notice say your case will call in court? (write the date)

What is the arrears balance (in whole pounds) £

☺ If you own your home and have been askedto leave� Your mortgage provider cannot ask you to leave your

home without giving you written notice that they intend toraise action in court to repossess your home.

� The court must grant a decree in favour of your mortgageprovider before they can remove you from your home.

� We can provide extra advice if you need it about yourrights if you are behind with your mortgage payments oron a loan secured against your home. We’ll need a copyof the notice from your mortgage provider (and the decreeform the court if your case has already been to court). Ifyou don’t have copies of what we need, take yourdocuments and your completed application form to one ofour local offices. They will copy what we need.

☺ What is a Service or Tied Tenant?A Service or Tied Tenant lives in a home that comes with theirjob. This includes someone serving in Her Majesty’s Forcesthat intends to return to Angus or who lives in Angus andwants to stay.

☺ If you’ve been asked to leaveHousing law is complicated but it is unlikely you will have anylegal rights to stay where you’re currently living if you are nota tenant.

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You are free to choose as few or as many housing providers, styles of property, sizes and heatingtypes as you wish but your choices will influence the amount of time you will wait for housing.Which housing provider will you consider as your next landlord? (tick all that apply)I want to be considered for housing by the partners (You need to select at least one of the partners).

Angus CHR partners select here:

Angus Council

Blackwood Homes

Caledonia Housing Association

Hillcrest Housing Association

Other housing providers

I want you to pass my details to the housing providers select here:

Abertay Housing Association

Angus Housing Association

Bield Housing Association

Cairn Housing Association

Tenant’s First

Trust Housing Association

What style of property are you looking for? (tick all that apply)

House Flat Maisonette

Amenity Sheltered Retirement

Supported Wheelchair adapted

What size of property are you looking for (tick all that apply)

bedsit 1 bed 2 bed 3 bed 4 bed 5 bed 6 bed 7 bed

What type of heating are you looking for? (tick all that apply)

Any heating type Electric Gas

What is the highest floor-level you will consider without a lift? (tick all that apply)

Any floor Ground floor only First floor

Second floor Third floor Fourth floor

Section I What you’re looking for.

☺ General HomesFlats and houses for rent not designed for any specific groupor groups of people like older people or people with aphysical disability.

☺ Adapted HomesFlats or houses that meet the needs of people with a physicaldisability. Homes may be partially adapted or fully adapted.

☺ Amenity HomesFlats or houses that meet the needs of generally older peopleor people with a disability with modifications like lower lightsockets, additional hand rails or special bathroom or kitchenfeatures but without any site support.

☺ Sheltered HomesA group of self contained properties for adults of any age whohave an assessed medical/support need to live in a shelteredenvironment. There are usually communal facilities on site.

☺ Supported HomesA group of self-contained properties generally for older people orpeople with a disability. Accessible housing with 24 hour on-siteenhanced housing management / support and communalfacilities on site.

☺ Retirement HousingA group of self contained properties for older people over theage of 60. There are usually communal facilities on site.

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Are you willing to look after a garden? Yes No

People sometimes have extra housing needs that affect the type of housing they need. This sectionis about those needs.

We’ll most likely contact you about what you tell us in this section.

We’ll begin by phoning you to go over your answers and to discuss your housing options. If necessary we’ll arrange a time tovisit you at home if you live in Angus to conduct a more thorough assessment of your needs, but only if we have to.

Do you think that you or someone that will live with you has extra needs because of a medicalcondition, a disability or unmet support or social care need?

Yes Complete this section No Go to section J

Name the person or persons with the medical condition, disability or unmet support or social care needs.

Tick the box(s) that apply to you or other persons.

A medical condition Yes No

Difficulty in managing the home Yes No

A special need Yes No

A physical disability Yes No

If you have answered YES to any of the above please give brief description(s)

☺ What are ‘extra needs’?� People can have extra housing needs because of a medical

condition, a disability or unmet support or social careneeds. We need to be sure that any housing we offer youmeets those needs.

� We will complete a full needs assessment with you if weneed more information about your medical condition,disability or unmet support or social care needs. This helpsus decide if you need any special type of home.

☺ You do not get a priority for –� Conditions without a diagnosis: if you think you have a

medical condition but a doctor hasn’t decided or is unsureabout the condition you have or how to treat it.

� Problem neighbours: you need to contact your landlord or

the police direct if you are affected by the behaviour ofyour neighbours or their visitors.

� Overcrowding: if you don’t have enough bedrooms foreveryone living with you, you get extra points for everybedroom you don’t have.

� Under-occupying: you will get extra points for every sparebedroom you have if you are a social housing tenant.

� Pregnancy or using a buggy on stairs: pregnancy is not amedical condition. Having to use a buggy on stairs doesnot attract any priority.

� Extra needs but your home meets all those needs.

☺ DON’T ask your doctor or anyone else towrite to us. We’ll write to anyone for moreinformation if we need it.

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If you think you need extra space or an extra bedroom because of a medical condition, disability or unmet support or socialcare needs, tell us.

If you or a member of your household needs to move to get support, tell us what support is needed that can’t be providedwhere you live now.

☺ Welfare ReformUnder-occupationHousing Benefit has been reduced for people under-occupying.

There are two rates for the reduction1 if you have one extra bedroom your Housing Benefit will

reduce by 14% (about £12 per week).

2 if you have two or more extra bedrooms your HousingBenefit will reduce by 25% (about £22 per week).

☺ An extra bedroom (any requests for an additionalbedroom should be discussed with a Housing Options Officer).An extra bedroom means one or more bedrooms in addition tothe number of bedrooms our Common Allocation Policy says youneed. Extra bedrooms are given after a full assessment ofneed and only for one or more of these grounds.

Here are some examples:

� Incontinence: caused by a medical condition.

� Space for medical equipment: someone needs a track andhoist to get in and out of bed or someone needs oxygentherapy at home.

� Space to carry out a medical procedure at home: forexample, someone carries out dialysis at home.

Section I continued

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Are you currently or about to start working, training or studying in Angus?

Yes Tell us where. No

Name

Address

How do you or will you travel to work, train or study?

By car By bus By train

Do you travel more than 30 miles by vehicle or does it take you more than 1.5 hours using public transport to get to your place of work? Yes No

Are you classified as a key worker?

Yes No If you answered YES what is your job

Do you have any pets?

Yes No Tell us what pets you have

Would you like to be considered for any shared ownership schemes? Yes No

Are you, or anyone you are applying with, related to:Anyone working for one of the Angus CHR Partners? Yes No

An elected member of Angus Council or a member of the management committee of one or more of the Angus CHR partners? Yes No

We’ll need more details if you’ve answered ‘Yes’ to either of these questions.

Their Name

Organisation

Tenant participation is a way for tenants and landlords to share information, ideas and power to improve the standard of housing conditions and services. Would you like to be involved in influencing decisions about the housing service? Yes No

Section J Extra information we need.

☺ Being related to someone working for usdoes not stop us offering housing� We ask this question so everyone is treated fairly. We keep

a ‘Register of Interests’ so someone you are related to orknow makes no decision about how your application isprocessed or any offer of housing you get. The partnersare: Angus Council, Blackwood Homes, CaledoniaHousing Association and Hillcrest Housing Association.

☺ Key worker classification � Our Economic Development team will tell us you are an

essential or key worker.

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Section K Angus Common Housing Register General (Mainstream) Properties

You are free to choose as few or as many areas as you wish but if you are assessed as homeless wewill consider you for more areas than you have chosen. If you only select a small number of areas thiswill increase the amount of time you have to wait for suitable housing. Figures correct at June 2014.

� Please tick box(es) Flat House Maisonette

� ARBROATH Studio 1 2 3 4 6 7 Studio 1 2 3 4 5 6 7 1 2 3 4

Angus Council

Cairnie 6 74 17 6 29 12 2 3

Central 31 143 193 124 3 1 55 59 33 18 2 1 73 15

Cliffburn 4 78 28 40 26 64 2

Elms 20 27 32 4

Hayshead 58 71 4 6 12 15

Kirkton 14 13 15 2

Landward 7 1 36 19 19 4 4

Timmergreens 125 11 50 35 22 104 32 7

Warddykes 54 18 54 39 23 3 107

Blackwood Homes

Kirkton Road 1 5 3 1 2

Hill Place 3 2

Caledonia HA

Barbers Croft 2

Stuart Street 2

Hillcrest HA

Cairnie 7 6

Central 3 170 63 8 8 44 22 1

Cliffburn 8 20 17 35

Hayhead 7 3 8 70 98

Kirkton 7 2 3

Timmergreens 5 17 60 11 24 17


� BRECHIN Studio 1 2 3 4 6 7 Studio 1 2 3 4 5 6 7 1 2 3 4

Angus Council

Central 1 97 53 2 28 47 6

East 19 17 8 3 20 27 10 4

Landward 18 24 26

North 49 26 1 10 17 9

South 1 161 127 23 16 33 13 19

Blackwood Homes

Slater Way 3 10 2

Caledonia HA

Albert Place 5 2 4 3

Hillcrest HA

Central 35

South 2 1 14 12 1

Landward 2


CARNOUSTIE Studio 1 2 3 4 6 7 Studio 1 2 3 4 5 6 7 1 2 3 4

Angus Council

Central 20 14 5 45 19 11 11

East 6 3 4 10 24 10 1

Landward 3 3 9

West 24 52 3 86 110 33 4

Caledonia HA

Anderson Street 8 8

Hillcrest HA

West

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FORFAR Studio 1 2 3 4 6 7 Studio 1 2 3 4 5 6 7 1 2 3 4

Angus Council

Central 33 33 12 4 15 21 1 2 3

East 19 56 194 45 20 27 73 6 3 54 2

Landward 8 13 8 45 131 44 1 2 3

North 8 4 3

South 86 652 17 7 112 20 5 7 9

West 78 48 50 23 58 108 22 10 57

Blackwood Homes

Gallowshade Road 3 1 4 6 1

Caledonia HA

Don Street 10

Carseburn Road 2

Landward 3 5

Hillcrest HA

Central 50 7 1

East 44 13 6

Landward 9 2 8 5

North 8 6 13 21 1

South 6 12 1


KIRRIEMUIR Studio 1 2 3 4 6 7 Studio 1 2 3 4 5 6 7 1 2 3 4

Angus Council

Central 6 44 8 1 26 9 10

Knowehead 87 9 7 8 2 1

Landward 11 11 7

North 9 30 5 1 4 7 12 11

South 4 49 106 7 2 16 22 5 4 1

Blackwood Homes

Hillview 1

Hillcrest HA

Central 4

Knowehead 12 2 2

Landward 6 4


MONIFIETH Studio 1 2 3 4 6 7 Studio 1 2 3 4 5 6 7 1 2 3 4

Angus Council

Central 12 22 15 50 48 21 6

Landward 12 11 7

Caledonia HA

High Street 1

Hillcrest HA

Central 11 3 1 2

Broomhill Drive &Broomhill Wynd 10 12 9

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Montrose Studio 1 2 3 4 6 7 Studio 1 2 3 4 5 6 7 1 2 3 4

Angus Council

Barracks 49 54 30 7 8 1

Borrowfield 110 14 20 52 20 1

Central 5 127 54 27 19 5

Glens 55 5 2 13 73 44 5 1 21

Landward 13 5 30 27 10

Links 9 35 16 1 21 1 1

Rossie Island 22 13 1 2 4 2

Southesk 7 60 71 3 1 9 1 18

Blackwood Homes

Dorward Gardens 6 6 2 2 2 1

Caledonia HA

Langley Park 1 15

Langley Park (Dunlin) 4 10 4 4

Standard Close 1

Hillcrest HA

Borrowfield 11 14 2 17 17

Central 1 9 2 16 5

Glens 4 1 15

Landward 24 14 10

Links 2 37 4

Angus Common Housing Register Landward (Village) Properties


ARBROATH Studio 1 2 3 4 6 7 Studio 1 2 3 4 5 6 7 1 2 3 4

Angus Council

Arbirlot 2

Balmirmer 3

Eastgate, Friockheim 2 1

Friockheim 7 1 27 13 11 4 4

Inverkeilor 9 6 1

Kinnell 1

Redford 1


BRECHIN Studio 1 2 3 4 6 7 Studio 1 2 3 4 5 6 7 1 2 3 4

Angus Council

Auldbar 4

Careston 6

Edzell 18 21 6

Fern 1

Findowrie 1

Friendly Park 2

Inchbare 1

Lochty 1

Menmuir 3 5

Tarfside 1

Hillcrest HA

Section K continued

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CARNOUSTIE Studio 1 2 3 4 6 7 Studio1 1 2 3 4 5 6 7 1 2 3 4

Angus Council

Barry 2

Easthaven 3 1

Muirdrum 1 2

Newbigging 2 5


FORFAR Studio 1 2 3 4 6 7 Studio 1 2 3 4 5 6 7 1 2 3 4

Angus Council

Aberlemno 2

Auchterhouse 3 1

Birkhill 3 3

Bogindollo 3 2

Bridgefoot 5

Craichie 2

Eassie 6

Glamis 4 1 4 12 2

Glenogil 1

Guthrie 1

Inveraldie 8 4 1 9 4 2 3

Kingsmuir 4

Kinnettles 1 2

Letham 4 5 22 1

Liff 3

Lunanhead 5 4 21 16 3 1

Muirhead 8 9 2 1

Newtyle 9 5 1 19 28 17

Padanaram 4 8 3

Pitkennedy 6

South Leckaway 1

Tannadice 1 1 1 2

Whitehills 11 4

Hillcrest HA

Tannadice 1 1 1 1

Glamis 4 1

Newtyle 9 5 1 2 11 9 1

� Please tick box(es) Flat House Masionette

KIRRIEMUIR Studio 1 2 3 4 6 7 Studio 1 2 3 4 5 6 7 1 2 3 4

Angus Council

Ballinshoe 3

Drumclune 2

Kingoldrum 2 2

Maryton 6

Memus 2

Westmuir 11 2 3

Hillcrest HA


MONIFIETH Studio 1 2 3 4 6 7 Studio 1 2 3 4 5 6 7 1 2 3 4

Angus Council

Burnside of Duntrune 1 4

Wellbank 11 8 7

Caledonia HA

Granary Terrace,Monikie 1 14 10

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� Please tick box(es) Flat House Masionette

MONTROSE Studio 1 2 3 4 6 7 Studio 1 2 3 4 5 6 7 1 2 3 4

Angus Council

Craigo 6 1

Ferryden 1 3 5 16 5

Hillside 12 2 24 4 2

Lunan 2

Hillcrest HA

Angus Common Housing Register Supported, Sheltered, Retirement and Amenity Properties

� Please tick box(es) Type Flat House

ARBROATH Studio 1 2 Studio 1 2

Angus Council

Adam Cargill Court Sheltered 1 21 3

Ponderlaw Lane Sheltered 12

Wesley Gardens Retirement 6 12

Cliffview Court Supported 12

Andy Stewart Court Sheltered 29 1

Andy Stewart Court Retirement 9

Caledonia HA

Barbour Croft Amenity 12 2

Convent Street Amenity 11 2 1

Stuart Street Amenity 2 1

Herald Buildings Amenity 22

Hillcrest HA

Doocot Park Supported 4 rooms


� FORFAR Studio 1 2 Studio 1 2

Angus Council

Brander Ha’ Sheltered 29

Toll Crescent Retirement 8 23

Jubilee Court, Letham Sheltered 24

Carseview Ter, Lunanhead Retirement 11

Priory Cottages, Lunanhead Retirement 3 17

Andrew Smyth Gardens Sheltered 12 12

Springfield Sheltered 24 3

Lily Wynd Supported 4 rooms 16

Caledonia HA

Myre View, Manor Street Amenity 8 4

Callander Drive Amenity 19

Dalziel Court, Inveraldie Amenity 2 2

St Ninians Rd, Padanaram Amenity 12

Sidlaw Garens, Birkhill Amenity 4 1

Sidlaw Garens, Birkhill Sheltered 26 9 1

Hillcrest HA

Section K continued

25


� BRECHIN Studio 1 2 Studio 1 2

Angus Council

Airlie Gardens Sheltered 18 1

Airlie Street Sheltered 8

St Drostan’s Court Supported 12 2

Inglis Court, Edzell Retirement 24

Newington Gardens Sheltered 20 1

Caledonia HA

Middleton Park Amenity 15

North Esk View, Edzell Amenity 14

Hillcrest HA

River Street Supported 7 rooms

River View Supported 3 rooms


� CARNOUSTIE Studio 1 2 Studio 1 2

Angus Council

Lousen Park Sheltered 22 7

Kinloch Court Supported 4 24


� KIRRIEMUIR Studio 1 2 Studio 1 2

Angus Council

Glebe Court Sheltered 12 14

Lyell Court Sheltered 22 1

Caledonia HA

Lisden Court 16


� MONIFIETH Studio 1 2 Studio 1 2

Angus Council

Brook Street Retirement 5 5 6

High Street Retirement 2

Well Street Retirement 1 1

Caledonia HA

High Street Sheltered 28 2


� MONTROSE Studio 1 2 Studio 1 2

Angus Council

Balmain Court Sheltered 14 3

Blackfriars Court Retirement 16 7

Murray Court Sheltered 20 1

Rowan Court Sheltered 22 1

Caledonian House Sheltered 1 1

Caledonian Place Sheltered Mix of 30 sheltered & 19 retirement properties to bedetermined on turnover (1 bed flats & 1 bed cottages)Caledonian Place Retirement

Provost Reids Road Sheltered 5

Southesk Court, Ferryden Retirement 18 5

Provost Johnston Road Supported 20

Caledonia HA

William Rodger Drive Amenity 18 10

Standard Close Amenity 8

Standard Close Sheltered 19 1

Chapel Bond Supported

Hillcrest HA

Silverway Supported 10

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Section L The legal stuff.

☺ About these questions� We will contact you direct if you answer ‘Yes’ to any of

these questions

☺ Ready to hand in or send your form to us?� Have you checked your form and answered all the

questions that apply to you and everyone that will livewith you? If you have extra information attach it to yourform then hand in or send to any ACCESS office.

☺ Proof of IdentityEveryone must provide us with ORIGINAL copies of two itemsfrom the following list:

� Birth certificate� Passport� Driving licence� Marriage certificate� National Insurance card� Medical card� UK Residence Permit� EC/EEA Identity card� Current gas or electricity bill� Letter from a solicitor/social worker/probation officer

/HMRC/Home Office/Department of Work andPensions/H.M.Ps.

This is an important section and you must read it carefully.Have you or anyone that will live with you – Provide the name of the person if answering ‘yes’ tothese questions:

Been the subject of an Anti-Social Behaviour Order (ASBO) under the Crime and Disorder Act 1998, on or after 30th September 2002 or the Anti-Social Behaviour (Scotland) Act 2004?

Yes No

Full Name

Been evicted for anti–social behaviour in the last 3 years?

Yes No

Full Name

Been convicted of a sexual offence?

Yes No

Full Name

Are you or anyone that will live with you –

Required to register with the police under the Sex Offenders Act 1997 or the Sexual Offences Act 2003?

Yes No

Full Name

I/We hereby declare that…

1 I/We have the right to remain in the United Kingdom in terms of the Immigration and Asylum Act 1999. I/We confirm that to the best of my/our knowledge, the details I/we have entered on this application form are true andaccurate.

2 I/We understand that if my/our circumstances change, I/we must notify the Angus CHR processing team of those changesimmediately.

3 I/We understand that it is an offence if I/we provide any false or misleading information and I/we may be prosecuted forthis. I/we understand that if any of these answers are found to be false or misleading, or if relevant information has beenheld back, the Angus CHR processing team may suspend my application or an Angus CHR partner may withdraw an offerof housing or take court action to end a tenancy.

27

4 I/We understand that any application to purchase a property allocated to me/us will be subject to the terms and conditionsof the Housing (Scotland) Act 2001 (as amended) and the Housing (Scotland) Act 2010.

5 I/We understand that if I have asked someone to act for me at Section C, any information about my application will bedisclosed to that person. I/We understand that it is my/our responsibility to advise the Angus CHR processing team of anychange.

6 I/We understand that the information I/we provide will be shared with, and can be accessed by, every partner to theAngus Common Housing Register.

7 I/We understand that my name, address and contact details will be passed to any of the social housing providers I/weselected in section I and consent to those details being forwarded to those housing providers.

8 I/We consent to the Angus CHR processing team contacting my current and any previous landlords or mortgage lenders toprovide information to the Angus CHR processing team about the conduct of any tenancy held by me/us or housepurchased by me/us and authorise my current and any previous landlords or mortgage lenders to provide and releaseinformation about the conduct of any tenancy held by me/us or house purchased by me/us.

9 I/We authorise you to contact any social work or health professionals as considered necessary to ensure that a fullassessment of any extra housing needs on medical, care or support grounds can be made and authorise any social workor health professionals to release any information requested about me/us.

10 I/We understand that I/we have the right to ask for a copy of the information which the Angus CHR processing team holdsabout me/us although I may have to pay a small fee to obtain this. I/We also have the right to have any inaccuracies inthe information corrected.

11 I/We understand that the council routinely exchanges information with other divisions within Angus Council, NHS Tayside,other Local Authorities and Registered Social Landlords and that these other organisations will use information for thesame purposes as the council. I/We understand that information I/we have provided in relation to children in my/ourhousehold may be passed to the council’s education service for use in the provision of services to children.

12 I/We can confirm and declare that the information that I/we have provided is correct to the best of my knowledge andauthorise the Angus CHR processing team to use my/our information for the above purposes.

You, the applicant Your partner/other applicant

Sign here

PRINT your name

Date

☺ If you rent your home: copies of –� Your lease.

� A Notice to Quit or Notice to Leave if you have one.

� Form AT5 (short assured private tenants).

☺ If you own your home -� A ‘Calling-up Notice if your mortgage provider has

sent one.

☺ If you live with someone else –� Written notice that you can’t stay there much longer.

If you don’t have copies of what we need, take yourdocuments and your completed application form to oneof our local offices. They will copy them.

We use this section to make sure we have all the information we need to assessyour application.For use by our ACCESS servicePage number Description Y N2 Dates of birth for all applicants

2 Contact details

3 National Insurance Numbers for everyone 16 and over

6 & 7 Addresses for last 3 years plus landlords name and Address (main applicant and partner/other applicant)

18 Signed and dated by applicant and partner/other applicant

EvidenceHousehold details Lease Viewed proof of identity

a) copy of lease for current/most recent accommodation ORb) letter showing applicant’s address if a) not possible

AT5 Copy of AT5 (if short assured tenancy)

Notice to Quit or Notice to Copy of letterLeave (if appropriate)

Approved Foster Carer Letter from agency or copy of contract

A8 & A2 Nationals Confirmation of permanent residence

Foreign NationalsCopy of passport and – • Proof of employment over 5 years

• Proof of self-employment over 5 years

• Proof of income related benefits entitlement over 5 years

• Birth certificates of dependent children (if app)

• Supporting information from university/college (if app)

• Proof of any addresses over 5 years

• Confirmation from DWP registed as a job seeker (if app)

Proof of pregnancy MATB1 form or letter from a GP or other medical professional confirming pregnancy Evidence of custody-written confirmation from both parties of custody or access arrangement, or legal documents.

Acknowledgement letter given

Appointment details

EME/URG/HO

Sign here PRINT YOUR NAME Date / /

EEA NationalsAustria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Italy, Latvia,Lithuania, Luxembourg, Malta, Netherlands, Poland, Portugal, Republic of Ireland, Romania, Slovenia, Slovak Republic, Spain, Sweden, UK,Iceland, Liechtenstein and Norway

☺ Right to reside test� A person has a right to reside if they’re from the EEA or Switzerland and they are either, employed, self-employed, registered as a

jobseeker

� EEA nationals who are not working or seeking work may have the right to live here and access benefits if they are a student; theyhave been living here off their own resources (self-sufficient); they are the parent of an EEA child in education here and they oranother parent has worked in the UK; they are a long-term resident who has acquired a permanent right of residence.

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Section M For our use

29

Risk

Officers should check systems for alerts and record the outcome here.

Clear Risk Detail Initial

Northgate

Care First

Housing-related debt

Clear Debt Amount Detail Arr Initial

Northgate

Integra

Comments/Actions

Northgate checked (current/past assessment)

Care First checks

ASS Created

£

£

For use by our processing service

30

How to contact us

Angus Council ACCESS officesOld Parish ChurchKirk SquareArbroathDD11 1DX

36 Bank StreetBrechinDD9 6AX

26 High StreetCarnoustieDD7 6AP

Municipal BuildingsCastle StreetForfarDD8 3AF

Town HouseHigh StreetMontroseDD10 8QW

ACCESS and Community Police offices15 Reform StreetKirriemuirDD8 4BS

81 High StreetMonifiethDD5 4AA

T: Angus ACCESSLine 03452 777 778E: [email protected]: www.angus.gov.uk

Blackwood HomesNorth Office 23 Raeden CourtMidstocket Road AberdeenAB15 5PF

T: 01224 327 408E: [email protected]: www.mbha.org.uk

Caledonia Housing Association118 Strathern Road Broughty Ferry Dundee DD5 1JW

T: 0800 678 1228E: [email protected]: www.caledoniaha.co.uk

Hillcrest Housing Association1 North GrimsbyArbroathDD11 1NU

T: 0300 123 2640E: [email protected]: www.hillcrest.org.uk

NB. Please return your form to any Angus Council ACCESS office or to:CommunitiesWilliam Wallace HouseOrchardbank Business ParkOrchard LoanForfarDD8 1WH

Data Protection ActThe information you have provided on this form will be used by the Angus CHR Processing Team and the Angus CHR Partners(the “data controllers” for the purposes of the Data Protection Act 1998) in order to process your application for housing andfor the management of any subsequent tenancy. The information will be held securely and will be treated as confidentialexcept where the law requires it to be disclosed.

The Angus CHR Processing Team and the Angus CHR Partners may check information provided by you, or information aboutyou provided by a third party, with other information held by either the Angus CHR Processing Team or the Angus CHRPartners. We may also get information from certain third parties or share your information with them in order to check itsaccuracy, prevent or detect crime, protect public funds or where required by law.

We routinely exchange information with other divisions within Angus Council, NHS Tayside, other Local Authorities andRegistered Social Landlords. These other organisations will use your information for the same purposes as the council.

Please note that information you have provided in relation to children in your household may be passed to the council’seducation service for use in the provision of services to children.

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