Notice of Termination

Notice of Tenancy Termination
When we receive your notice, we will contact you to arrange a convenient time to visit you. This is to carry out a pre-termination inspection of the property and is also an opportunity for you to ask any questions you may have about ending your tenancy.

Please ensure you provide your contact details so we can arrange a suitable appointment.
Type of Termination*

28 Day NoticeMutual ExchangeInternal TransferDeath
Current Address*

Street Address

Street Address Line 2

TownCounty

Postcode
Tenants Details
Tenants Name*

First NameLast Name
Tenants Email
example@example.com
Tenants Telephone Number*
Format: 00000-000000.
Tenants National Insurance No.
Tenants Forwarding Address*

Street Address

Street Address Line 2

Town/CityCounty

Postcode
Tenant Employment details (i.e employed? employer? etc.)*
Tenant Next of Kin details
Is there a Joint Tenant?*

YesNo
Joint Tenants Name*

First NameLast Name
Joint Tenants Email
example@example.com
Joint Tenants Telephone Number*
Format: 00000-000000.
Joint Tenants National Insurance No.
Tenants Forwarding Address (if different)

Street Address

Street Address Line 2

Town/CityCounty

Postcode
Joint Tenant Employment details (i.e employed, employer etc)*
Joint Tenant Next of Kin details
Termination details
Date from which 28 day notice is given. (notice will be taken from the day the form is submitted)*

DayMonthYear
Date
Expected tenancy end date (minimum of 28 days from the above date)*

DayMonthYear
Date
Please tell us why you are ending your tenancy*

Mutual ExchangeInternal TransferPurchased own propertyMoving to a private letMoving to a Council propertyMoving to another Housing Association propertyMoving in with familyMoving in with partner
Please tell us why you are ending your tenancy (select all that apply)*

Moving out-with areaTo be nearer familyMoving in to a nursing homeRelationship breakdownFinancial difficultiesHealth/Medical reasonsOvercrowdingAffordability / Energy CostsAnti Social Behaviour / HarassmentUnder-occupancyTo give/receive supportCurrent area undesirableLack of transport/ to be closer to amenities
Do you rent a garage?*

YesNo
If yes, is tenant terminating garage lease?*

YesNo
Address of Garage
Are you in receipt of Housing Benefit or Universal Credit?*

YesNo
If yes, please provide reference number (for UC, this is our National Insurance Number)
Utility Supplies
UTILITY SUPPLY - If you have a pre-payment meter(s), please ensure you leave the gas card and/or electric key beside the meter

I/we* have told the electricity/gas* suppliers that the tenancy will end on the above date. I/we* understand that it is my/our* responsibility to read the electric/gas* meter(s) prior to handing in my/our* keys and that meter(s) MUST BE LEFT FREE OF DEBT. The utility suppliers are: *

Rows	Supplier
Gas Supplier (if Applicable)
Electricity Supplier

Househould members over 16 years of age

HOUSEHOLD - The following person(s) are over the age of sixteen and live at this address as their principal home. They have been informed that the tenancy will end and will also be leaving the above property by the above date.

Rows	Name
Occupant 1
Occupant 2
Occupant 3
Occupant 4

Declaration of Spouse (if applicable)
I understand that my wife/husband*, who is the sole tenant of the property named on this form, is terminating the tenancy of the house and I hereby declare that I consent to the proposed termination.
Does the above statement apply?*

YesNo
Signature of Spouse
Power of attorney (if applicable)
If you have filled in this form on behalf of the tenant, please print your name and address and state the reason why (e.g. exercising the Power of Attorney(POA)). Please note: If you have Power of Attorney we will require a copy of your lasting Power of Attorney Certificate. Please bring this with you or send us a copy along with this form.*

Yes. I have filled in the form on behalf of the tenant.No. I have not filled in the form on behalf of the tenant.
Name of Person filling out this form if not the tenant

First NameLast Name
Address of person filling out this form if not the tenant

Street Address

Street Address Line 2

CityArea

Postcode
End of Tenancy Survey
As a user of our services your feedback is crucial to our continuous improvement. We would appreciate it if you would take the time to send us your feedback. We will collect and record your ideas, comments, concerns and feedback and use what you tell us to help improve the services we provide.
Reason for Moving - Where you are moving to, are you...?*

BuyingRenting a Council propertyRenting another Housing Association propertyRenting privatelyLodgingMoving in to a nursing home or residential careOther
Are you... ?*

Staying in the local areaMoving to another area in the UKMoving abroad

What you though of our services. How satisfied were you with...*

Rows	Very Satisfied	Fairly Satisfied	Neither Satisfied nor Dissatisfied	Fairly Dissatisfied	Very Dissatisfied
The overall service provided by Osprey Housing
The quality of your home
The repairs and maintenance service
The management of the neighbourhood you lived in
The opportunities given to you to participate in decision making process

How good was...?*

Rows	Very good	Fairly good	Neither good nor poor	Fairly poor	Very poor
The Housing Service at keeping you informed about their services and decisions
The value for money represented by your rent?

Osprey Housing is continually striving to improve our services to tenants. We would appreciate any feedback (positive or negative) you may have allow us to make improvements or celebrate what we already do well. *
Important information: please read carefully

· You should hand your keys in to your local office no later 10am on the date your tenancy ends, or on the date previously agreed by us, or rent will continue to be charged, this will not be covered by Housing Benefit. You will also be charged for the cost of replacing any locks.

· Please leave the premises, including garden and driveway, in a clean and tidy condition at vacation

· You may be charged for:

· Any problems or repairs not due to fair wear and tear, including ‘improvements’ that you do not have our written permission for

· Clearance costs for any rubbish left in and around the property

· Lost or missing keys
Tenant Signature*
Joint tenant Signature*
Confirm Email Address (If you would like a copy of this form sent to you)
example@example.com
Date

DayMonthYear
Date
Should be Empty:

Notice of Tenancy Termination

Tenants Details

Termination details

Utility Supplies

Househould members over 16 years of age

Declaration of Spouse (if applicable)

Power of attorney (if applicable)

End of Tenancy Survey