Form-1 | CHS Group

Form 1

Mutual Exchange Applications Form 1 (for use by CHS Group Tenant who have found an exchange party). This form may take around 5 minutes to complete and cannot be saved as you go, so please leave enough time to answer all of the questions before starting. To translate or listen to any of these questions, highlight the text you want to access using your cursor, and a small box will appear giving you the option to listen or translate.

Section One - CHS Tenant Household Details

Lead Applicant - First name (s)(Required)

Lead Applicant - Surname name(Required)

Lead Applicant - Current address and postcode(Required)

Street Address Address Line 2 City County Postcode Country

Lead Applicant - Mobile number(Required)

Lead Applicant - Landland number

Lead Applicant - Work number

Lead Applicant - email address(Required)

1.2 Additional household members who will be living with you at your new address - please include their FIRST NAME, SURNAME, DATE OF BIRTH, SEX, and RELATIONSHIP to lead applicant. If there are no additional household members please add N/A and you run out of space, please use the notes section at the end of this form.(Required)

Do you have a clear rent account?(Required)

PLEASE NOTE THAT A MUTUAL EXCHANGE WILL NOT BE AGREED UNLESS YOU MAINTAIN A CLEAR RENT ACCOUNT. IN ADDITION, YOUR CURRENT HOME WILL BE INSPECTED BY THE SOCIETY AND YOU WOULD BE REQUIRED TO LEAVE IT IN GOOD DECORATIVE ORDER AND PUT RIGHT ANY DAMAGE YOU MAY HAVE CAUSED AND ANY UNAUTHORISED ALTERATIONS YOU MAY HAVE MADE.

Section Two - Person applying to move into CHS Property

Their first name (s)(Required)

Their surname(Required)

Their address and postcode(Required)

Street Address Address Line 2 City County Postcode Country

Their mobile number(Required)

Their Email(Required)

How many bedrooms do they have?(Required)

Who is their landlord?(Required)

Their current landlord's address and postcode(Required)

Street Address Address Line 2 City County Postcode Country

Is anyone else involved in the exchange?

If yes, please list all their contact details, and landlord information in the box below. Please also provide details as to who wants to move into which property.

SECTION THREE - CONSENT AND DATA PROTECTION

Applicant name/electronic signature(Required)

Date(Required)

DATA PROTECTION STATEMENT

DATA PROTECTION STATEMENT In order to assess your housing application and help us deliver efficient services, we need to collect relevant personal information. We comply with data protection legislation when collating and managing personal data. This means that your personal data will be processed in accordance with the law and will be kept safe and secure and for no longer than is necessary. If you have any questions or queries regarding data protection, please e-mail dataprotection@chsgroup.org.uk. You can see CHS Group’s Privacy Notice in full at the CHS Group website www.chsgroup.org.uk You are advised that in order to assist in the prevention and detection of fraud your personal information may be used for the purpose of data matching by the CHS Group and other public bodies under the National Fraud Initiative. We may also use it for prevention and detection of fraud.

Please use this space to tell us anything else you think is relevant to your application