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Uitvoeringsmap Bestuurlijke Aanpak Vastgoed - RIEC's

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Melding voor Burgerzaken: _________________________________________________<br />

eigenaar<br />

huurder: particulier/ wooncoöperatie: __________<br />

huurprijs: €__________ incl /excl<br />

betaalt aan: __________________<br />

__________________<br />

Eneco: € ___________________<br />

kamer _____________________________________<br />

etage/woning ______________________________<br />

IVI: ja/ nee ________________________________<br />

onderverhuur: ja/ nee _______________________<br />

Woonsituatie<br />

Inkomenspositie<br />

eneco: ___________________________________<br />

achterstallig onderhoud: ____________________<br />

vervuiling: ________________________________<br />

ongedierte: _______________________________<br />

hoge huur: ________________________________<br />

geluidsoverlast : ___________________________<br />

last van buren: _____________________________<br />

overig: ____________________________________<br />

vervolgactie: _______________________________<br />

loondienst _________________________________________________________________________________<br />

eigen bedrijf _______________________________________________________________________________<br />

uitzendbureau ______________________________________________________________________________<br />

uitkering : Sozawe/ Asielzoeker/ Vluchteling/ Illegaal/ ___________________________________________<br />

studiefinanciering __________________________________________________________________________<br />

pensioen __________________________________________________________________________________<br />

anders: ___________________________________________________________________________________<br />

Problematiek/ hulp gewenst bij:<br />

Hulpverlening Bevindingen:<br />

schulden:_________________________________<br />

gezondheidsklachten:_______________________<br />

opleiding:_________________________________<br />

verslaving: ________________________________<br />

overig: ____________________________________<br />

Aangemeld bij/ doorverwezen naar:<br />

Maatschappelijk werk/ LZN ________________<br />

Huurteams ______________________________<br />

Juridisch Loket __________________________<br />

dS+V ___________________________________<br />

DOSA ___________________________________<br />

SoZaWe/ CWI ____________________________<br />

anders: _________________________________<br />

_________________________________<br />

91<br />

______________________________________________<br />

______________________________________________<br />

______________________________________________<br />

______________________________________________<br />

______________________________________________<br />

______________________________________________<br />

______________________________________________<br />

______________________________________________<br />

______________________________________________<br />

______________________________________________<br />

______________________________________________<br />

______________________________________________<br />

______________________________________________<br />

______________________________________________<br />

______________________________________________<br />

______________________________________________<br />

Bijlage: Ja/ Nee<br />

91

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