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Housing register - change in my circumstances

Use our form to report a change in circumstances regarding your existing application to join the housing register. If you have already been accepted onto the housing register, you can use this form to let us know of any changes to your circumstances that could affect your place on the housing register. We will usually get back to you within 4 weeks as long as you have provided all of the information we need.   

If you're reporting a change in circumstance for your current tenancy, for example a name change, you need to contact Landlord Services

  • 1Current: Change of circumstances for housing register application
  • 2 Other information
  • 3 Final page
  • 4 Complete
Page 1 of 4

How to complete this form

Use this form only to tell us about a change in your circumstances if you have already applied to join our housing register
 

Main applicant details

Name main applicant
 
Tell us about your changes in circumstances - select all that apply

Tell us about your changes in circumstances - select all that apply

Change of address

New address
We need 2 documents confirming your residence at your new address. These must be from different sources and dated.

Examples of acceptable documents:
  • bank or building society statements
  • utility bills
  • landline telephone bills
  • credit card bills
  • letters from an official agency eg Department of Work and Pensions 
We do not accept medical cards, driving licences or mobile telephone bills as evidence of residence.
 
Unlimited number of files can be uploaded to this field.
5 MB limit.
Allowed types: gif jpg jpeg png pdf.
Previous address

About your new home

What is your new housing situation?
What is your new housing situation?
Facilities
Do you have a toilet inside your home?
Do you share a toilet with non-relatives?
Do you have a bathroom or shower?
Do you share a bathroom or shower with non-relatives?
Do you share cooking facilities with non-relatives?
Getting into your home
Do you have difficulty getting into your home (for example, because of stairs)?
Does the property have a lift?
Does the lift stop at your floor?
Is the only access to your property an outside iron stairway?

Contact details for your new landlord, housing association or housing trust

Condition of your rented property

Is your current home in a good state of repair?
Is your current home in a good state of repair?
Has your property ever been inspected by Barking and Dagenham private sector housing team?

New baby

Who had a baby?
Who had a baby?
One file only.
5 MB limit.
Allowed types: gif jpg jpeg png pdf.

Expecting a baby

Who is expecting?
Who is expecting?

Someone moved out

Who moved out?
Who moved out?
Do you know where they moved to?
Do you know where they moved to?

Someone moved in

Tell us who moved in
Name
If someone has joined your household - we need to know:

  • why
  • where they were previously living for 5 years prior to joining you, with dates for each address and what type of housing situation applied to this eg living with family, living with friends, as a tenant of a private landlord parents etc
  • any legal documentation that may apply to them joining you

Unlimited number of files can be uploaded to this field.
5 MB limit.
Allowed types: gif jpg jpeg png pdf.

Someone died

Tell us about the person who died
Name

Someone started working 16 hours or more per week

Who started working?
Who started working?
Is this person working as employed or self employed?

Self employment

You must provide evidence of registration with HMRC and audited accounts or other information to substantiate the nature and extent of your self-employment
Unlimited number of files can be uploaded to this field.
5 MB limit.
Allowed types: gif jpg jpeg png pdf.

About your employer

Employer's address
 
We need a copy of your contract of employment and 3 most recent payslips
Unlimited number of files can be uploaded to this field.
5 MB limit.
Allowed types: gif jpg jpeg png pdf.

Someone stopped working 16 hours or more per week

Who stopped working?
Who stopped working?

Medical and disability changes in circumstances

Whose medical circumstances have changed?
Whose medical circumstances have changed?
Disability changes - select all that apply
Disability changes - select all that apply
Do they have a disability or medical condition that is affected by their current accommodation?

Medical and disability issues selected

Are they taking any prescribed medication in relation to disability or medical condition(s)?
Are they taking any prescribed medication in relation to disability or medical condition(s)?
Do they have mobility problems?

Mobility issues

What walking aids do they use? Select all that apply.
What walking aids do they use? Select all that apply.
Can they climb one or two steps?
Can they climb one flight of stairs?
Can they climb more than one flight of stairs?
Do they use a wheelchair?
Tell us how often they use a wheelchair - select all that apply
Tell us which of the following tasks they can do on their own - select all that apply

Other problems and difficulties

Tell us about any other new problems and difficulties faced by this person
Are they disabled, registered blind or partially sighted?
If this person is blind or partially sighted, we need to see a copy of their certificate of vision impairment - you can upload documents later in the form
Are they in receipt of Personal Independence Payment (PIP), Disability Living Allowance (DLA) or Attendance Allowance (AA)?
We need to see evidence of these payments - you can upload documents later in the form
Do they have epilepsy?
Do they have epilepsy?
Can they manage their toileting (incontinence) needs independently?

Sheltered housing factors

Are there any other factors you want us to take into account, for example social, physical or mental health?
Are there any other factors you want us to take into account, for example social, physical or mental health?
How often do they receive visits from friends or family?
How often do they receive visits from a support agency, such as social services?
Are they experiencing any form of anti-social behaviour?
Are they experiencing any form of anti-social behaviour?

Another change in circumstances

Who does the change of circumstances apply to?
Who does the change of circumstances apply to?

Sleeping arrangements

Tell us about changes to the sleeping arrangements for everyone in your property.  If they are sharing bedrooms or rooms (used for sleeping purposes) with others, specify this below.

Room 1

Number of people who sleep in this room

Person 1 - main applicant

Person 2

Name
Gender
Gender
Relationship to the main applicant

Person 3

Name
Gender
Gender
Relationship to the main applicant

Person 4

Name
Gender
Gender
Relationship to the main applicant

Room 2

Number of people who sleep in room 2

Person 1

Name
Gender
Gender
Relationship to the main applicant

Person 2

Name
Gender
Gender
Relationship to the main applicant

Person 3

Name
Gender
Gender
Relationship to the main applicant

Person 4

Name
Gender
Gender
Relationship to the main applicant

Room 3

Number of people who sleep in room 3

Person 1

Name
Gender
Gender
Relationship to the main applicant

Person 2

Name
Gender
Gender
Relationship to the main applicant

Person 3

Name
Gender
Gender
Relationship to the main applicant

Person 4

Name
Gender
Gender
Relationship to the main applicant

Room 4

Number of people who sleep in room 4

Person 1

Name
Gender
Gender
Relationship to the main applicant

Person 2

Name
Gender
Gender
Relationship to the main applicant

Person 3

Name
Gender
Gender
Relationship to the main applicant

Person 4

Name
Gender
Gender
Relationship to the main applicant

Room 5

Number of people who sleep in room 5

Person 1

Name
Gender
Gender
Relationship to the main applicant

Person 2

Name
Gender
Gender
Relationship to the main applicant

Person 3

Name
Gender
Gender
Relationship to the main applicant

Person 4

Name
Gender
Gender
Relationship to the main applicant