Housing Advice Contact Form

Please note that there is currently a high demand for housing advice and services within Breckland and it could take up to 30 working days for you to receive a response to your initial enquiry.

To prevent further delays please do not make further contact before 30 working days unless your situation has changed or is urgent.
Fields marked with * are required
details
1. First Name:*
2. Surname:*
3. Please enter your postcode and click on 'Find Address'. Then click on the drop down arrow on the address box and choose the correct address
  
  If your address is not shown please enter the address manually.
4. Your Postcode
6. Address Box
7. First line of your address*
8. Address 2
9. Town*
10. Postcode*
11. Contact telephone number:*
12. Contact Email:*
13. Date of Birth: (DD/MM/YYYY)*
14. National Insurance Number:*
15. Reason for Contact:*
  
  I am not safe in my current home - fleeing domestic abuse or other violence/harassment
  
  I have nowhere to stay tonight
  
  Other (see wording below for definition of other)
  Please select other if you are contacting us about any other housing enquiry eg: non-violent relationship breakdown, served a notice by landlord, parents/family no longer willing to accommodate or wish to join the housing register
16. Do you have an assigned housing officer?:*
  
  Yes
  
  No
  
  Don't Know
17. Who is your Housing Officer?:
18. Please provide further details*
19. Assisted Service
  1. Are you completing this form on behalf of someone else?*
    
    Yes
    
    No
20. Assisted service details
  1. In what capacity are you completing this form?:
    
    CC Staff
    
    Agent/Solicitor
    
    Relative/Friend
    
    Carer
    
    Other
  2. Name of person completing this online form:
  3. Email of person completing this online form
Privacy statement

Breckland Council is collecting this information, via this form, in order to perform this service or function, and if further information is needed in order to do so, you may be contacted using the details provided.

In performing this service, the Council may share your information with other organisations or departments, but only when it is satisfied that it is necessary to perform a public task, or to exercise its statutory duties to do so.

The Council may also share your personal information for the purposes of the prevention, investigation, detection, or prosecution of criminal offences, but will not share your personal information, or use it for any other purpose, unless provided for by law.

More detailed information about the Council's handling of your personal data can be found in our privacy policy.

Last updated: 11/11/2021 11:26:07

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Housing Advice Contact Form

Privacy statement