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Pet request form

If you live in one of our properties you may need to get permission to keep a pet in your home. This helpful video will let you know if you need to complete the pet request form.

Want to keep a pet in your home? This video explains the permissions you need and how many you can have in your household.

Pet request form

Your details

Name *

Address *

Postcode *

Contact Number *

Email *

Your home

How many bedrooms does the property have? *

If you live in a flat what floor is the flat on?

Will the pet be Spayed/Neutered? *

Yes

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.

Please note that if you are a joint tenant this form should be completed by both tenants

We are currently looking for feedback on our website, please tick this box if you would be willing to complete a short survey about the website.

Why do we collect personal data of individuals?

This form is for customers to make a pet request. We'll use this information to complete an eligibility assessment and provide feedback.

Pet request form

Can I keep a pet?

Pet request form

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