Advertising homes for rent from not-for-profit landlords in manchester

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Rehousing Registration

Please answer every relevant question

Please do not fill in this form if you are already registered for rehousing, or have started your registration within the last three weeks. We will not be able to accept it.

Get advice first if you are not sure if you are registered

SECTION 1 - ABOUT YOU

	Surname
	First name(s)
	Email address
	Address House/Flat number Road/Court Area Postcode help
	Daytime phone number (if none, put 'none')
	When did you move in here? Month Year
	Can we write to you at your home address? Yes No If No, please give a contact address Number & road Area Change if different Postcode
	Do you, or anyone who will be moving with you, own another home (other than the one you, or they, live in)? Yes No
	Are you? Male Female
	Date of birth
	National Insurance Number (Don't know your number? help)
	Have you, or anyone who will be moving with you, ever lived abroad (outside the UK)? (Ireland, the Isle of Man and the Channel Islands do NOT count as abroad). Why do we ask this? Yes (We will send you a separate form about this. Please continue) No
	Do you live in the area covered by Manchester City Council? (If you're not sure, check which council collects your council tax and empties your bins - or check the map). Yes No
		If Yes. How long have you lived in Manchester? Years Months
		If No. You may have lived in Manchester in the past - if so, please give the address(es) of the homes you lived in (include any Manchester City Council home(s) on 'overspill' estates outside the city). Address 1 From: Month, Year To: Month, Year If rented, put landlord's name and address
		Address 2 From: Month, Year To: Month, Year If rented, put landlord's name and address
		Address 3 From: Month, Year To: Month, Year If rented, put landlord's name and address
	Do you, or anyone who will be moving with you, work in the area covered by Manchester City Council? Yes No
	If Yes, what is the address of the work?
	Are you, or anyone who will be moving with you, in full time education in the area covered by Manchester City Council? Yes No
	If Yes, what is the address of the school/college?

	SECTION 2 - PREVIOUS ADDRESSES

		Please list any other addresses you have lived in over the last THREE years. Do NOT include your current address or any address you have already given us above. Previous address 1 From: Month, Year To: Month, Year If rented, put landlord's name and address
		Previous address 2 From: Month, Year To: Month, Year If rented, put landlord's name and address
		Previous address 3 From: Month, Year To: Month, Year If rented, put landlord's name and address

SECTION 3 - ABOUT THE PEOPLE MOVING WITH YOU (moving group)

3A. HUSBAND/WIFE/PARTNER MOVING WITH YOU
	Do you have a husband, wife or partner (gay or straight) who will move into your new home with you? Yes No If YES please give details below: If NO go to next question
	Name
	Sex?	Date of Birth	Nat Insurance No. (If 16 or over) help
	Male Female
	Does s/he live with you now? Yes No If No what is their address?
	We assume that you will share a bedroom with your husband/wife/partner. If this is NOT the case, please say why you need separate rooms (for example because of a serious medical condition).

3B. YOUR CHILDREN MOVING WITH YOU
	Do you or your husband/wife/partner have any children, including grown-up children, who will move into your new home with you? NoGo to next question YesGive details of every child below
	Name
	Sex?	Date of Birth	Nat Insurance No. (If 16 or over) help
	Male Female
	Does s/he live with you for at least half of the time now? Yes No If No what is their address? Will s/he live with you for at least half of the time in your new home? Yes No
	Name
	Sex?	Date of Birth	Nat Insurance No. (If 16 or over) help
	Male Female
	Does s/he live with you for at least half of the time now? Yes No If No what is their address? Will s/he live with you for at least half of the time in your new home? Yes No
	Name
	Sex?	Date of Birth	Nat Insurance No. (If 16 or over) help
	Male Female
	Does s/he live with you for at least half of the time now? Yes No If No what is their address? Will s/he live with you for at least half of the time in your new home? Yes No
	Name
	Sex?	Date of Birth	Nat Insurance No. (If 16 or over) help
	Male Female
	Does s/he live with you for at least half of the time now? Yes No If No what is their address? Will s/he live with you for at least half of the time in your new home? Yes No
	Name
	Sex?	Date of Birth	Nat Insurance No. (If 16 or over) help
	Male Female
	Does s/he live with you for at least half of the time now? Yes No If No what is their address? Will s/he live with you for at least half of the time in your new home? Yes No
	Name
	Sex?	Date of Birth	Nat Insurance No. (If 16 or over) help
	Male Female
	Does s/he live with you for at least half of the time now? Yes No If No what is their address? Will s/he live with you for at least half of the time in your new home? Yes No
	If you have used all the spaces above, have you any more children who will move with you? Yes No If Yes, how many? we will take more details later

3C. OTHER PEOPLE MOVING WITH YOU
	Will any more people move into your new home with you (other than the ones you have already told us about)? No Go to next question Yes Give details of every person below. At 'Relationship to you' put 'my brother' or 'my mother' for example.
	Name	Sex? Male Female
	Relationship to you	Date of Birth	Nat Insurance No. (If 16 or over) help
	Does s/he live with you now? Yes No If No what is their address?
	Name	Sex? Male Female
	Relationship to you	Date of Birth	Nat Insurance No. (If 16 or over) help
	Does s/he live with you now? Yes No If No what is their address?
	Name	Sex? Male Female
	Relationship to you	Date of Birth	Nat Insurance No. (If 16 or over) help
	Does s/he live with you now? Yes No If No what is their address?
	Name	Sex? Male Female
	Relationship to you	Date of Birth	Nat Insurance No. (If 16 or over) help
	Does s/he live with you now? Yes No If No what is their address?
	Name	Sex? Male Female
	Relationship to you	Date of Birth	Nat Insurance No. (If 16 or over) help
	Does s/he live with you now? Yes No If No what is their address?
	Name	Sex? Male Female
	Relationship to you	Date of Birth	Nat Insurance No. (If 16 or over) help
	Does s/he live with you now? Yes No If No what is their address?
	If you have used all the spaces above, are there any more people who will move with you? Yes No If Yes, how many? we will take more details later
	Are any of those listed in C. OTHER PEOPLE (above) married to each other, or partners with each other (gay or straight)? Yes No If YES, which ones? with with
	We assume that couples (married or unmarried, straight or gay) will share a bedroom. Please tell us if this is not the case with any couple listed in the C. OTHER PEOPLE question (above). Please say why they need separate rooms (for example because of a serious medical condition).
	Are any of those listed in C. OTHER PEOPLE (above) brother or sister of each other? Yes No If YES, please name them - eg 'Peter Smith is brother of John Smith and Julie Brown'.
3D. EXPECTING A CHILD
	Are you, or any of the people who will be moving into a new home with you, pregnant? You will need to show us a medical letter confirming the birth date. Yes No If YES, which one(s) Name expected date of birth Name expected date of birth

SECTION 4 - ABOUT THE PEOPLE NOT MOVING WITH YOU (staying group)

	Is there anyone living with you now who will NOT be moving with you? Yes No If Yes please give details of these people below. At 'Relationship to you' put 'my sister' or 'my husband' or 'my ex-partner' for example. Or put 'none'. If No go to the next question.
a.	NAME	Sex?	Date of Birth
		Male Female
	Relationship to you
b.	NAME	Sex?	Date of Birth
		Male Female
	Relationship to you
c.	NAME	Sex?	Date of Birth
		Male Female
	Relationship to you
d.	NAME	Sex?	Date of Birth
		Male Female
	Relationship to you
e.	NAME	Sex?	Date of Birth
		Male Female
	Relationship to you
f.	NAME	Sex?	Date of Birth
		Male Female
	Relationship to you
	If you have used all the spaces above, are there any more people living with you now who will NOT be moving with you? Yes No If Yes how many
	Are any of the people you have listed as NOT moving (above) married to each other, or partners with each other (gay or straight)? Yes No If Yes, which ones with with
	Are any of the people you have listed as NOT moving (above) brother or sister of each other? Yes No If YES, please name them - eg 'Peter Smith is brother of John Smith and Julie Brown'.

	SECTION 5 - ABOUT YOUR PRESENT HOME

		Do you live in a home managed by one of the not-for-profit landlords in the Manchester Housing Register? You could be a tenant, one of the family, or lodging there. Pick the landlord from the list below, or pick ‘none of these’ at the bottom. Adactus Housing Group Arcon Housing Association Ashiana Housing Association City South Manchester Housing Trust Contour Housing Group Eastlands Homes Grove Village (Ardwick PFI) Guinness Trust Irwell Valley Housing Association Manchester City Council Manchester & District Housing Association (part of Harvest Housing Group) Manchester Methodist Housing Association Mosscare Northern Counties Housing Association Northwards Housing Parkway Green Housing Trust People First Housing Association Places for People Saint Vincent’s Housing Association Southway Housing Trust Space New Living Willow Park Housing Trust William Sutton Housing Association none of these
		At your present address are you: a tenant of a private landlord a tenant of a council other than Manchester a tenant of a non-for-profit landlord other than those listed above lodging with someone who owns the property (including friends or family) lodging with someone who rents the property from a council, housing association or housing trust (including friends or family) lodging with someone who rents the property from a private landlord (including friends or family) an owner occupier a tied tenant (home comes with job) in bed and breakfast in a hostel other: please say what If you have put 'a tenant' in the question above, please put the name and address of your landlord, or landlord's agent:
		What type of property do you live in? House Flat Maisonette Bungalow Other please say what
		What floor is your front door on? (eg 'ground', 'third')
		If your front door is above ground floor, is there a lift? Yes No
		How many living rooms do you have? (include 'dining rooms' but not kitchens, bathrooms, bedrooms)
		How many bedrooms are in your home? Include all bedrooms - not just those used by people who will move with you. How many of the bedrooms are big enough for a double bed?
		Do you have all of these facilities in your home? If you have to share with other households, say 'No' Sink; bath or shower; toilet; hot water; electricity; heating; kitchen or meals provided; living room. Yes No If No please say what you don't have. If you share the facility, say how many households you share with.
		Does your home have any adaptations for a disabled person, such as wheelchair access or stairlifts? Yes No
		If Yes what sort of adaptations do you have (eg ramps, stairlifts)

	SECTION 6 - YOUR FINANCES

		What is the TOTAL weekly income, after tax, of you and your husband, wife or partner (if you have one)? Include wages, pensions and benefits.
		Do you and your husband, wife or partner (if you have one) have TOTAL savings of more than £3,000? Included any money in current bank account. Yes No If Yes, what is the value of your savings?
		Do you, or anyone who will be moving with you, own any property or properties - including the home you/they live in now? Yes No If Yes how much money would you/they make if the property/properties were sold, after paying off the mortgage and any other debts? If there is more than one property, put the TOTAL amount.

SECTION 7 - WHERE YOU WANT TO LIVE

7A. CHOOSE AN AREA
	Look at the list of rehousing areas below. Please pick the area(s) you are interested in. You can pick as many areas as you want. If you are not sure, look at this map of rehousing areas
	North & East Manchester	Central Manchester	South Manchester
	Beswick	Ardwick	Baguley
	Blackley	Chorlton/Medlock	Baguley: Royal Oak
	Charlestown	Fallowfield	Brooklands
	Cheetham Hill	Gorton: Bennett St	Burnage East
	Cheetwood	Gorton North	Burnage West
	Clayton	Gorton South	Chorlton
	Collyhurst: Monsall	Gorton West	Chorlton: Nell Lane
	Collyhurst: Village	Hulme	Chorlton Park
	Collyhurst: Vine	Levenshulme	Didsbury
	Collyhurst South	Longsight	Merseybank
	Crumpsall	Moss Side	Moss Nook
	Dam Head	Platt Fields	Newall Green
	Harpurhey Central	Rusholme	Northenden
	Harpurhey South	Rusholme West	Northern Moor
	Higher Blackley	St Georges	West Didsbury
	Higher Openshaw	Whalley Range	Withington
	Lightbowne		Woodhouse Park
	Miles Platting/Ancoats
	Moston
	New Moston
	Newton Heath
	Riverdale
	Smithfield

7B. COMMUNITY CONNECTION
	Do you have, or does someone moving with you have, a COMMUNITY CONNECTION to any of the areas you have chosen above? The reasons for having a community connection are listed below. Please pick one of these reasons, or pick 'NONE of these connections'. (We will check these details later).
		Having a family connection in an area you want. A parent or guardian must have lived in that area for at least three years; or you must have lived with your parent(s) or guardian(s) in that area for at least three years in the past. Name(s) and address of parent(s) or guardian(s):
		Having a good housing history in an area you want. You must have lived in the area for at least the last three years; paid your rent or mortgage on time (or kept to an agreement to repay arrears); not acted anti-socially; and kept to your tenancy agreement.
		Having a child at a primary school in an area you want. The child must have a good attendance history and good behaviour record. Name and address of the school:
		Needing to be near work or work-linked education or training, or childcare you need for work in an area you want. Name and address of employer, education, training or childcare:
		Providing employment or a service in an area you want. Name and address of business or service:
		Working for, or running, a community-based voluntary activity in an area you want. Name and address of activity or organisation: How long have you, or they, been doing this?
		Having successfully completed a ‘young person’s pre-tenancy skills’ training course. This course is run by the City Centre Project for 16 to 25 year-olds setting up home for the first time. Name and address of the support worker, and the date you completed the course:
		NONE of these connections