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Before viewing a home

The form and budget calculator you need to fill in when you receive your offer letter

Go to form

There's a few things we need to know

It’s really important you fill in the budget calculator and the form below within 2 days of being offered a property. This is so we can make sure the home you’re being offered is right for you.

Go to the betteroffcalculator website

What's the address of the property you've been offered?

Address *

Postcode *

Is the property you are being offered in a different Local Authority area than where you are currently living? *

Yes

About you - this will be the first person on the tenancy

Title

Full name *

Date of birth *

❋ dd/mm/yy

National Insurance number *

Ethnic origin *

Daytime telephone number *

Email address *

Are you related to a member of staff at VIVID *

Yes

If yes, who?

❋ If you are related to someone at VIVID, who is it?

Do you consider yourself to have a disability? *

Yes

If so, please give details

❋ If you do consider yourself to have a disability, please give details about this

Do you receive support from an external agency, friend or family member? *

Yes

If yes, please give us the details of who you receive support from and what this is for.

Who's your emergency contact?

Name

❋ This should be someone outside of your household

Phone number

Address

Email address

Relationship to you

Do you have an appointee or someone you want us to talk to about your new home?

Name

Phone number

Address

Email address

Relationship to you

Do they have power of attorney?

Yes

Staying in contact

How would you prefer us to contact you? *

How do you access the internet? *

Would you like us to contact you using

What language would you like to be contacted in?

Please give details of the joint tenant (tenant 2)

Title

Full name

Date of birth (dd/mm/yy)

❋ dd/mm/yy

National Insurance Number

Ethnic origin

Daytime telephone number

Email address

Do you consider yourself to have a disability? *

Yes

If so, please give details

❋ If you do consider yourself to have a disability, please give details about this

Do you receive support from an external agency, friend or family member?

Yes

If yes, please give us the details of who you receive support from and what this is for.

Who's your emergency contact? (tenant 2)

Name

❋ This should be someone outside of your household

Phone number

Address

Email address

Relationship to you

Do you have an appointee or someone you want us to talk to about your new home? (tenant 2)

Name

Phone number

Address

Email address

Relationship to you

Do they have power of attorney?

Yes

Staying in contact (tenant 2)

How would you prefer us to contact you?

How do you access the internet?

Would you like us to contact you using

What language would you like us to contact you in?

Who else will be living with you, that won't be on the tenancy? (make sure you add every person, even children)

Title

Full name

Relationship to you

Date of birth

❋ dd/mm/yy

Ethnic origin

What's their economic status?

Other information such as disabilities

❋ if you haven't added every person who'll be living with you, it'll slow your application down

What benefits are you currently in receipt of? Please tick all that apply

Carer’s allowance

Attendance Allowance

Housing Benefit

Council Tax Benefit - Pensioner age

Council Tax Relief – Working Age

Personal Independence Payment (PIP) – Care

Personal Independence Payment (PIP) – Mobility

Disability Living Allowance (Child) – Care

Disability Living Allowance (Child) - Mobility

Disability Living Allowance (Adult) – Care

Disability Living Allowance (Adult) - Mobility

Universal Credit

Employment and Support Allowance

Income Support

Job Seekers Allowance

Pension Credit

State Pension

Other

Is anyone pregnant in the household?

Yes or no *

Yes

If yes, what's their name?

When's the baby due?

❋ dd/mm/yy

Do you have any pets?

Yes or no *

Yes

❋ you don't need to tell us about small animals like hamsters or fish

If yes, how many pets do you have?

What type of animals are they?

Where do you live now? We need 5 years of address history

Address *

Postcode *

Are you living *

Landlord's name *

Landlord's address *

Landlord's contact number *

How long have you lived here for? *

How much was your rent? *

Do you owe any money to your landlord? *

Yes

Why are you moving?

Please tick the box to confirm that you're aware that two weeks rent will be payable at sign up. If you're unable to make this payment then you need to contact us

Where have you lived before?

Previous address

Landlord's name

Landlord's address

Date from

Date to

Why did you leave?

Where's the second tenant lived before? We need 5 years of address history

Previous address

Landlord's name

Landlord's address

Date from

❋ dd/mm/yy

Date to

❋ dd/mm/yy

Why did they leave?

Property ownership

Do you currently own or have a financial interest in a property, including shared ownership? *

Yes

If yes, what's the value of the property?

How much mortgage is outstanding?

❋ in £s

If it's a shared ownership property, what percentage do you own?

Offences

Has anyone (including you) who'll live with you, ever been convicted of a criminal offence? *

Yes

If yes, who and what?

Has anyone (including you) who'll live with you, ever breached a tenancy agreement? *

Yes

If yes, who and how?

Your agreement and Data Protection stuff

Under the General Data Protection Regulation (GDPR) (EU) 2016/679, Data Protection Act (DPA) 2018 and any other applicable data protection legislation, VIVID may share your information with other housing providers, Government agencies, energy suppliers, local councils, the police, social services, referencing agencies, contractors working on our behalf (like repair contractors, debt recovery and survey agencies) and other third parties. VIVID does this to make sure that only people eligible for our homes access them, to provide new homes, manage existing homes, handle claims, prevent fraud, keep communities safe, recover money they are owed, make sure that people pay for all the services they receive at their homes and improve how we deliver our services.

I give permission for VIVID to take up references about me and my household, run credit and residency checks, get information from the police and other agencies about me and my household, share information with the agencies above about me and my household, use the information I provide to update their customer records and to provide housing where appropriate, and to access my/our full financial data for the purposes of assessing affordability and to assist with the investigation of fraud

I understand if any of the information I provide is found to be incorrect or untrue, VIVID may not consider me for housing. If this happens after I’ve been offered a tenancy, VIVID will take legal action to repossess the property

I/We declare that the information in this form is true. I/We undertake to give notification of any changes that may occur as this may alter the priority of my/our application. I/We understand that any false or misleading statement or the withholding of any relevant information may result in my/our application being cancelled or any tenancy granted to me/us being terminated or may lead to prosecution for criminal offences. If you're granted a tenancy you will be asked to sign-up to our Data Protection Policy. If you would like any further information on any of our policies including our Allocation Policy please contact us and we will provide you with a copy

More homes, bright futures

Peninsular House, Wharf Road, Portsmouth, PO2 8HB.

VIVID Housing Limited is registered in England and Wales as a registered society under the Co-operative and Community Benefit Societies Act 2014 under number 7544 with exempt charitable status and as a registered provider of social housing with the Regulator of Social Housing under number: 4850. We’re authorised by the Financial Conduct Authority, number 776452. Our registered office is at Peninsular House, Wharf Road, Portsmouth, Hampshire, PO2 8HB.

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