Changes to my household

Name *

Email *

Address *

Postcode *

Contact number *

I would like to *

Have a pet

Make a change to my tenancy

Make a change to my household

The pet you wish to keep

What sort of pet do you want? *

How many pets do you wish to keep all together? (please include any pets you already have as well as the pet you are completing this form to request) *

What type of breed is the pet? *

In submitting this application I/we understand that I/we do not have consent to keep a pet. I/We agree not to take ownership of a pet until such time that I/we receive written permission from Midland Heart. *

Make a change to my tenancy

Are you the tenancy holder for the address above? *

Yes

Do you want to add someone to your tenancy? *

Yes

Do you want to remove someone from your tenancy? *

Yes

Their full name *

Their relationship to you *

Their date of birth *

Their photo ID (passport/driving licence) *

Their proof of occupancy for the whole of the last 12 months *

Do you have an Assured or Fixed Term tenancy? *

Yes

Your proof of relationship *

Their email address *

Their phone number *

Is the main or joint tenant now deceased? *

Yes

Please list all of the remaining household members *

Is there any other information we need to know?

Make a change to my household

Are you adding or removing someone from your household? *

Adding

Removing

Are you the tenancy holder for the address above? *

Yes

Their full name *

Their relationship to you *

Their date of birth *

Is there any other information we need to know?

Consent for storing submitted data *

Yes, I give permission to store and process my data

Changes to my household

Your home

The pet you wish to keep

Make a change to my tenancy

Make a change to my household