Rental Application Form
MY WAY HOME LTD
FIND YOUR WAY HOME TODAY.
Fill out this short form and our team will contact you within 7 days
Tenant Criteria:
Please note in order for us to be able to create your way home, you must meet the criteria listed below.
Please tick ALL options that are applicable to you :
I currently receive universal credit housing costs
I am a care leaver
I receive PIP (Personal Independence payment )
I receive Universal credit LCW payment (Limited Capacity to work)
I receive DLA (Disability living allowance )
Other
When do you need to Move in by ?
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please state the road name of the property that you are interested in renting
*
Type N/A if you do not know
Tenant Application
Name of Person completing this referral form
*
First Name
Last Name
Person making this Referral - Contact Details
*
Person making this Referral - Email
example@example.com
Name of Applicant
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Mobile Number
*
-
+44
Phone Number
Gender
*
NINO
*
Email
example@example.com
Marital Status
Single
Married
Divorced
Separated
Others
Age
*
Emergency Contact Details
*
Do you have a history of repeat homelessness?
Yes
No
If yes, please provide more details below:
Do you smoke?
Yes
No
Do you have Pets
Yes
No
If yes, please specify the pet/s type and breed
Current Residence Details
Current Residence Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
When did you move in?
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Move out Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Current accommodation type :
*
Street Homeless
Renting privately
UK Home owner
Hostel
Temporary / Supported Accommodation
Social Housing
No Fixed Abode
Other
Reason for leaving or wanting to move out
Landlord's Name
First Name
Last Name
Landlord's Phone Number
-
Area Code
Phone Number
Please Upload Supporting Documents
This will allow us to validate your right to rent and confirm if you meet the criteria for housing under MY WAY HOME LTD
PROOF OF I.D
Browse Files
Passport - Birth cirtificate - EEA member state identity card - Residence permit issued by the Home Office
Cancel
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PROOF OF LAST ADDRESS
Browse Files
Utility bill -Local authority council tax bill current - Bank statement letter
Cancel
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PROOF OF BENEFITS
Browse Files
Current PIP Award letter - UC Payment statement - DLA letter - LCW Award Letter
Cancel
of
LAST 3 MONTHS BANK STATEMENTS
Browse Files
Screen shots or PDF Accepted - date must be within the last 3 months of your application for housing
Cancel
of
ANY SUPPORTING DOCS
*
Browse Files
eg care leaver documentation, disability or health diagnosis etc
Cancel
of
Agreement
Tenant / Referral agents Signature
*
Date Signed
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Confirmation of past accommodation :
Please note - We will need a letter from your previous landlord / letting agent confirming the type of accommodation you was living in and the duration of stay in order for us to consider your application. Below is a draft template letter, we kindly ask that you contact your previous landlord and request that they fill out this letter with the correct information. you can email it to info@mywayhome.uk or bring it with you on the day of your viewing. Once we receive this we can take the next steps. If you have a similar letter / past tenancy or licence agreement to hand you can upload below - this will speed up your placement with us :
Past Accommodation letter or agreement upload :
Browse Files
Cancel
of
DRAFT TEMPLATE ( Accommodation history letter)
Submit
Submit
Should be Empty: