Download Application Form to rent a Garage

Application Form to rent a Garage Plot in Northwich area
Title:
______________
Forename(s):
____________________________
Surname:
____________________________
DOB:
______________
National
Insurance No:
______________
Telephone No:
______________
Current Address:
Postcode:
Mobile Phone No: _____________
_________________________________
_________________________________
_________________________________
_________________________________
Is your current home address rented from Weaver Vale Housing?
Yes/No
If yes, please provide the tenancy reference number:
______________
Do you already rent a garage/garage plot from Weaver Vale Housing?
Yes/No
If yes, please provide the address, service area, & tenancy reference number:
__________________________________________________________________
__________________________________________________________________
If you are not currently renting a garage or a property from Weaver Vale have you ever rented
a garage, garage plot or a property from Weaver Vale Housing?
Yes/No
If yes, please provide the address or addresses below:
_________________________________
_________________________________
_________________________________
_________________________________
_________________________________
_________________________________
_________________________________
_________________________________
Have you ever been offered (but refused) a WVHT tenancy before?
Yes/No
Are you a Board Member/employee of Weaver Vale Housing Trust?
Yes/No
Are you related to a Board Member/employee of Weaver Vale Housing Trust? Yes/No
If yes, give details
Do you own a car?
Yes/No
Signature:
Date: ______________
Office Use Only
Inputted onto QL by ___________________ Date: ____________
Application Number Generated: ________________
We want to be more accessible and as a result we are asking you to tell us how
we can tailor our service to your needs. This will include, sending all future
communications to you in the language or format you prefer. To help us do this
and ensure that we deliver the most appropriate service, please take a few
moments to complete the following questions:
Primary Tenant
Date of Birth
Mobile no:
Home Tel no:
E-mail address
Communication
Is English your preferred language for communication? YES
NO
If ‘NO’ what language would you like us to use? ---------------------------------Do you prefer to receive communications in another form?
Braille
Tape
CD
Large Type
Disability
Do you have a disability?
YES
NO
If ‘Yes’ what disabilities do you have? (Please specify in associated box provided)
Hearing Impaired
Mobility Impaired
Visually Impaired
Other (please specify)
Does anyone else in your household have a disability?
YES
NO
If ‘Yes’ what disabilities do you have? (Please specify in associated box provided)
Hearing Impaired
Mobility Impaired
Visually Impaired
Other (please specify)
Ethnicity
White British
Irish
Chinese
Bangladeshi
White Asian
Other Ethnic background
Age
16 – 24
25 – 49
Black British
African
Indian
White/ Black Caribbean
Other White background
Other Mixed background
50+
Asian British
Caribbean
Pakistani
White/ Black African
Other Black background
Other Asian background
Areas of choice - please indicate preferred areas with a tick
BARNTON
Townfield Lane
ANDERTON
Old Road
LEFTWICH
NETHER PEOVER
Swan Grove
Balmoral Avenue
Dunham Road
Woodside Terrace
LOSTOCK GRALAM
Townshend Road
Wilson Crescent
WINCHAM
Birch Grove
Pickmere Lane
DAVENHAM
Mount Pleasant Road
WEAVERHAM
Keepers Lane
Briar Lane
Cherry Lane
Elm Road
Farm Road
Gleave Road
Poplar Road
Walnut Avenue
RUDHEATH
Belmont Road
Bowden Drive
Comboy Drive
St Johns Close
Laburnum Road
CUDDINGTON
Ash Road
Fir Lane
WHITLEY
Raddel Lane
DATA PROTECTION
How information about you will be used
Personal information you share with us may be used in a number of ways





To make decisions relating to an application for housing or other services we
provide
To carry out a reference or credit check
To communicate with you about our services
To manage and maintain your tenancy
For statistical analysis
When you give us someone else’s personal information in connection with your
relationship with us on behalf of that person (such as a joint tenancy) you confirm
that you have obtained their consent for this information to be disclosed to us and
used as described within this Privacy Notice
How information about you may be shared
We may share your information with and obtain information from other organisations
where relevant and appropriate to your relationship with us, this could include;
Organisations linked to the Trust Homechoice housing application process, utility
companies, local authorities, Government departments and other agencies to help
manage and maintain your tenancy. We will also share information with maintenance
contractors to assist them in carrying out repairs and maintenance in your property,
where required to do so by law and in the recovery of outstanding debts. We will not
sell your information to any organisations to be used for marketing purposes.
Further Information
If you require more information relating to Data Protection and how this affects you
please visit our website at www.wvht.co.uk or contact us at the following address.
Data Protection Officer
Weaver Vale Housing Trust Limited
Gadbrook Park
Rudheath
Northwich
Cheshire
CW9 7LL