Housing - Tenancy at Risk

Please ensure you attach a copy of the rent statement and customer contact log.
Fields marked with * are required
Housing Association Details
1. Date of notification (DD/MM/YYYY)*
  
  Day
  
  Month
  
  Year
2. Name of Housing Officer*
3. Community Manager's phone number*
4. Type of tenancy*
  
  Sole
  
  Joint
5. Please provide both names on the tenancy contract
6. Is this a starter tenancy?*
  
  Yes
  
  No
7. Start date of tenancy (DD/MM/YYYY)*
  
  Day
  
  Month
  
  Year
8. Please detail any previous court action taken*
9. On what grounds is the eviction being sought?*
  Eg. Mandatory or discretionary
10. Rent Statement*
  Permitted file types: JPEG, PNG, PDF. Maximum file size: 5MB
  
  No file chosen
11. Customer contact log*
  Permitted file types: JPEG, PNG, PDF. Maximum file size: 5MB
  
  No file chosen