Change of circumstances form

SECTION 1: ABOUT YOU

What is your HomeLink application reference number?

Your name

Your date of birth

Your gender

Female
Male
Non-binary
Prefer not to say

Your National Insurance Number

Telephone number

Joint tenant details (only complete if you are a joint tenant)

Your name

Your date of birth

Your National Insurance Number

Telephone number

SECTION 2: REASON FOR COMPLETING THIS FORM

Why are you completing this form (select all that apply)?

A) Change of address
B) Add a person or child to an application
C) Access to children
D) Proof of pregnancy
E) Related Parties
F) Other

Please now ONLY complete the sections that are relevant to the reasons you've selected

A) CHANGE OF ADDRESS ON YOUR APPLICATION FORM (proof will be required before the changes can be made)

Old address (including postcode)

New address (including postcode)

If you have selected 'Other' please provide details

If you have selected 'Other', please provide details

If you are sharing, who are you sharing with?

The date you moved in

The number of bedrooms your home has

Apart from bedrooms, kitchen, bathroom, toilets, hallways and landings, how many other rooms do you have in your house?

B) ADD A PERSON OR CHILD(REN) TO AN APPLICATION (proof will be required before the changes can be made)

What is the type of change?

Add a person
Add a child(ren)

If you have selected 'Add a person':

What is their address (if different to yours)?

What is their email address (if applicable)?

What is their telephone number (if applicable)?

What is their National Insurance Number (if applicable)?

If you are adding more than one other person to an application, use this space to provide the details as listed in the question above.

If you have selected 'Add a child(ren)'

Child 1: What is the child's name?

Child 1: What is their date of birth?

Child 2: What is the child's name?

Child 2: What is their date of birth?

If you are adding more than two children to an application, use this space to provide the details as listed in the question above.

C) ACCESS TO CHILD(REN) (proof will be required before the changes can be made)

Child 1: What is the child's name?

Child 1: What is their relationship to you?

Child 1: What is their address?

Child 2: What is the child's name?

Child 2: What is their relationship to you?

Child 2: What is their address?

If you are adding access to more than two children to an application, use this space to provide the details as listed in the question above.

D) PREGNANCY - you will need to provide either a copy of a Mat B1 form or written proof from your midwife

What is the estimated due date?

F) OTHER

Tell us of any other changes to your circumstances here

SECTION 3: CRIMINAL CONVICTIONS

Have you or any person included in your application, had any criminal convictions?

Yes
No

You do not need to tell us about any convictions which are considered as legally spent (that is, a certain amount of time has passed since you / they were convicted), or if you / they have been rehabilitated under the Rehabilitation of Offenders Act 1974. If you have selected 'Yes' we will be in contact to confirm the details with you.

SECTION 4: CIVIL ACTION

Have you or any person included in your application ever had any court proceedings against any tenancy you / they have held, or a tenancy held by someone else?

Yes
No

Court proceedings are defined as a notice seeking possession, a notice to quit, a notice of possession of an introductory tenancy, possession proceedings, injunction proceedings or an anti-social behaviour order. If you have selected 'Yes' we will be in contact with you to discuss the details.

SECTION 5: SUPPORT NEEDS

Do you or any person included in your application have any support needs?

Yes
No

If you have said 'Yes', please provide details

SECTION 6: SIGNATURE

Please be aware that obtaining a tenancy by making false claims is a criminal offence and Nottingham City Homes can take action against you if you make false claims in your application for housing.

Tick this box to confirm you have read this important information

Your signature (applicant 1)

Your signature (applicant 2)