Blackpool Coastal Housing
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Blackpool Coastal Housing LtdBullet PointProgress HouseBullet PointClifton RoadBullet PointBlackpoolBullet PointFY4 4USBullet PointT 01253 477900Bullet PointEmail: enquiries@bch.co.uk
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Blackpool Coastal Housing > Apply for a home > Forms > Online Housing Application
Online Housing Application


Section 1

Please Note:

This application form will take about 20-30mins to complete.
This form must be completed in one sitting, you cannot save it.

 

1. Data Protection/Declaration

The information supplied in this form will be held on computer.

  • I/we agree to Blackpool Council sharing details of my application with any relevant agency on a confidential basis. I/we agree that Blackpool Council may obtain any relevant information about me/us from other relevant agencies.
  • I/we understand that enquiries will be made concerning my character and conduct of any previous tenancies or occupations of any previous property.
  • I/we understand that the Council reserves the right to suspend, remove or exclude from the Housing Register, if information received or held by Blackpool Council indicates that I/we may not make a suitable tenant in accordance with current legislation.
  • I/we understand that if granted a tenancy on the basis of a false statement, that Blackpool Council can seek possession, which could result in eviction.
  • I/we understand it is a criminal offence for anyone applying to the Council to be allocated housing to knowingly or recklessly give false information relating to their application, or to knowingly withhold information in relation to their application which the Council has reasonably required them to give. A person convicted of such an offence is liable to be punished by a fine not exceeding level 5 on the Standard Scale (£5000).
  • I/we understand the above information and confirm the details given are correct. I/we understand that if false information or statement has been provided, this may result in suspension, removal or exclusion from the Housing Register.
 
  • Please note that you will in some cases need to send in proof of your answers.
  • If you do not send in this proof your application cannot be processed.
  • Proof can be sent to the Housing Applications Team, South King Street, Blackpool, FY1 4TR or any Blackpool Council office.
 
Tick to confirm you have read and accept the information above. *

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