The information given in this application is correct and I will inform CHS Group of any relevant changes. I understand that if I knowingly give false or misleading information I may lose any housing/support service offered to me, and that it is CHS Group policy to seek eviction of anyone giving false information to obtain a tenancy. I agree that CHS Group can seek information from current or previous landlords or other relevant agencies about me.

When I apply for housing with another social landlord in future, I understand that CHS Group may be asked to give a reference about any tenancy I have held with them. I am aware that the reference would include details of rent payments and any breaches of the tenancy agreement, including anti-social behaviour. I agree that CHS Group can share such information with other social landlords for this purpose.

Data Protection Statement: In order to assess your application and help us deliver efficient services, we need to collect relevant personal details. We comply with the Data Protection Act 1998 when dealing with personal data. This means that your personal data will be processed in accordance with the law and will be kept safe and secure.

Please note we may share personal data with relevant departments within the organisation; sometimes we collect personal data for one service and need to use it to give you another service. We may also use it for prevention and detection of fraud. We will not share it with other organisations without your knowledge, unless we are required by law to do so.

By submitting this form you are consenting to CHS Group processing your personal data.