RPLC Housing Application Form

Applicant 1

First Name Last Name

E-mail

Date of Birth

Mobile Number

- Area Code Phone Number

Phone Number

- Area Code Phone Number

Address

Post Code

What type of Property do you require?

Current Rent

What type of tenancy do you have?

Number of Bedrooms

On which floor?

How long resident there?

Name of Second Applicant

First Name Last Name

Income of 2nd Applicant

If you are in arrears, please state how much

Child 1

First Name Last Name

Date of birth

- Month - Day Year

Child 2

First Name Last Name

Date of birth

- Month - Day Year

Child 3

First Name Last Name

Date of birth

- Month - Day Year

Child 4

First Name Last Name

Date of birth

- Month - Day Year

Are you the subject of court proceedings related to housing? If so please give brief outline

Contact Details of your employer if applicable

Contact details of your current landlord

Current Income

List the benefits you receive and the amount per month

If you have a pet, please give the details here

State briefly why you require housing from the RPLC

Have you ever owned a property?

What involvement have you had with the Voluntary Sector in Richmond?

Give the names, emails and telephone numbers of two referees

UK Passport Number

Other national passport number

Date form completed

- Month - Day Year

Please email (director@rplc.org.uk ) or send scanned copies of:

a copy proof of identity ( driving licence/passport/photocard) and
a copy proof of address (recent utility bill/bank statement/benefit book

It may take some time for a property to become available that suits your requirements.

It is your responsibility to let us know via email of any changes to your contact details (telephone and email etc.). Properties can become available at short notice and opportunities can be missed if we are unable to contact you.

The Director
RPLC
Vestry House
21 Paradise Road
Richmond TW9 1SA