Change of circumstances form

SECTION 1: ABOUT YOU

What is your HomeLink application reference number?

Your name

Your date of birth

Your gender

Female
Male
Non-binary
Prefer not to say

Your National Insurance Number

Email *

Telephone number

Joint tenant details (only complete if you are a joint tenant)

Your name

Your date of birth

Your gender

Female
Male
Non-binary
Prefer not to say

Your National Insurance Number

Telephone number

SECTION 2: REASON FOR COMPLETING THIS FORM

Why are you completing this form (select all that apply)?

A) Change of address
B) Add a person or child to an application
C) Access to children
D) Proof of pregnancy
E) Related Parties
F) Other

Please now ONLY complete the sections that are relevant to the reasons you've selected

B) ADD A PERSON OR CHILD(REN) TO AN APPLICATION (proof will be required before the changes can be made)

What is the type of change?

Add a person
Add a child(ren)

If you have selected 'Add a person':

What is their name?

What is their gender?

Female
Male
Non-binary
Prefer not to say

What is their address (if different to yours)?

What is their email address (if applicable)?

What is their telephone number (if applicable)?

What is their National Insurance Number (if applicable)?

If you are adding more than one other person to an application, use this space to provide the details as listed in the question above.

If you have selected 'Add a child(ren)'

Child 1: What is the child's name?

Child 1: What is their date of birth?

Child 1: What is their gender?

Female
Male
Non-binary
Prefer not to say

Child 2: What is the child's name?

Child 2: What is their date of birth?

Child 2: What is their gender?

Female
Male
Non-binary
Prefer not to say

If you are adding more than two children to an application, use this space to provide the details as listed in the question above.

C) ACCESS TO CHILD(REN) (proof will be required before the changes can be made)

Child 1: What is the child's name?

Child 1: What is their relationship to you?

Child 1: What is their gender?

Female
Male
Non-binary
Prefer not to say

Child 1: What is their address?

Child 2: What is the child's name?

Child 2: What is their relationship to you?

Child 2: What is their gender?

Female
Male
Non-binary
Prefer not to say

What is their address (if different to child 1)

If you are adding access to more than two children to an application, use this space to provide the details as listed in the question above.

D) PREGNANCY - you will need to provide either a copy of a Mat B1 form or written proof from your midwife

What is the estimated due date?

F) OTHER

Tell us of any other changes to your circumstances here Proof will be required before the changes can be made

SECTION 3: CRIMINAL CONVICTIONS

Have you or any person included in your application, had any criminal convictions? You do not need to tell us about any convictions which are considered as legally spent (that is, a certain amount of time has passed since you / they were convicted), or if you / they have been rehabilitated under the Rehabilitation of Offenders Act 1974. If you have selected 'Yes' we will be in contact to confirm the details with you.

Yes
No

SECTION 4: CIVIL ACTION

Have you or any person included in your application ever had any court proceedings against any tenancy you / they have held, or a tenancy held by someone else? Court proceedings are defined as a notice seeking possession, a notice to quit, a notice of possession of an introductory tenancy, possession proceedings, injunction proceedings or an anti-social behaviour order. If you have selected 'Yes' we will be in contact with you to discuss the details.

Yes
No

SECTION 5: SUPPORT NEEDS

Do you or any person included in your application have any support needs?

Yes
No

If you have said 'Yes', please provide details

SECTION 6: SIGNATURE

Please be aware that obtaining a tenancy by making false claims is a criminal offence and Nottingham City Homes can take action against you if you make false claims in your application for housing.

Tick this box to confirm you have read this important information *

Your signature (applicant 1) * Type your name here

Your signature (applicant 2) Type your name here

Company Registration Number: 5292636
Registered Office: Loxley House, Station Street, Nottingham, NG2 3NJ.
Registered in England and Wales.