General Intake Form - Changes to Tenancy

1
What's the address of the property you're renting?* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
2
What's Changing?Select all that apply
People
Pets
Breaking Lease
3
Who is coming or going?Select all that apply
I'm moving out
Someone is moving in
Someone else is moving out
4
The person moving out is
Someone also on the lease
An approved occupier
A child
5
Name of the person moving out
First Name
Last Name
6
Mobile of the person moving oute.g. 0412 345 678
Please enter a valid phone number.
7
Email of the person moving out
example@example.com
8
Is the person moving in going on the lease?
Yes, they'll go on the lease
No, approved occupant only
9
Name of the person moving in
First Name
Last Name
10
Mobile of the person moving ine.g. 0412 345 678
Please enter a valid phone number.
11
Email of the person moving in
example@example.com
12
PetsSelect all that apply
I'm applying to have a pet
A pet no longer lives with us
13
Which pet is leaving?What is the type and breed of pet that will no longer be at the property
14
Animal type and breed* This field is required.e.g. Dog, Labrador
15
Pet's name* This field is required.
16
Microchip numberLeave blank if your pet isn't microchipped
17
Council registration numberLeave blank if not registered
18
Sex* This field is required.e.g. Male, desexed
19
Fur colour and lengthe.g. Black, short
20
Weight, height and lengthe.g. 30kg, 60cm tall, 90cm long
21
What else would you like us to know about the pet?Anything that helps the owner decide, like the pet's age, temperament and training, whether it'll live inside or outside, and if council or body corporate rules allow it.
22
Break Lease
I want to leave my lease early
I need more information before deciding
23
Breaking your lease early

Leaving early can come with costs, like rent until a new tenant is found and re-letting fees. Read our guide to breaking a lease before you decide.
24
How many people are currently on the lease?* This field is required.Including you
25
Leaseholder 1 - Name* This field is required.
First Name
Last Name
26
Leaseholder 1 - Mobile* This field is required.
27
Leaseholder 1 - Email* This field is required.
example@example.com
28
Leaseholder 2 - Name
First Name
Last Name
29
Leaseholder 2 - Mobile
30
Leaseholder 2 - Email
example@example.com
31
Leaseholder 3 - Name
First Name
Last Name
32
Leaseholder 3 - Mobile
33
Leaseholder 3 - Email
example@example.com
34
Leaseholder 4 - Name
First Name
Last Name
35
Leaseholder 4 - Mobile
36
Leaseholder 4 - Email
example@example.com
37
Leaseholder 5 - Name
First Name
Last Name
38
Leaseholder 5 - Mobile
39
Leaseholder 5 - Email
example@example.com
40
What to expect next

Everyone on the lease needs to complete and sign a Form 13 (Notice of intention to leave). Press Submit, then check your emails to continue.
41
What to expect next

All leaseholders need to agree to the change. We'll email them to confirm, then send an agreement for everyone to sign.
42
What to expect next

Pet requests need the owner's approval. Everyone on the lease needs to complete and sign a Form 21 (Request for approval to keep a pet). Press Submit, then check your emails to continue.
43
Property owner (agent)
Should be Empty: