Contour Application for Housing.qxd:Layout 1 - Contour Homes
Contour Application for Housing.qxd:Layout 1 - Contour Homes
Contour Application for Housing.qxd:Layout 1 - Contour Homes
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Why do you want to move?<br />
Please tick ALL the boxes that apply to you<br />
I need to move because:<br />
I am homeless (We will require proof from the Local Authority)<br />
I am overcrowded<br />
I want to move to a smaller property<br />
Relationship breakdown<br />
My home is in bad condition<br />
What repairs are needed?<br />
I have been asked to leave<br />
A <strong>for</strong>mal notice been served<br />
Please give details<br />
My child or a partner live in separate accommodation<br />
Please give their address:<br />
Postcode<br />
I cannot af<strong>for</strong>d the rent/mortgage<br />
I cannot manage the stairs What floor do you live on? Is there a lift?<br />
I find it difficult to heat/maintain my home<br />
I would like to move to accommodation <strong>for</strong> people over 50<br />
I am having problems with my neighbours<br />
I need to move closer to provide or be given support.<br />
Where do they live?<br />
I want a home of my own<br />
I have another reason to move:<br />
Postcode<br />
4
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