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 by Blackpool Council.

• 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 relevant agencies may include, but are not limited to, any police force, previous landlords, the Probation Service and other Council departments.
• I/we understand that information supplied in this form will be used to help my potential landlord to re-house me in an appropriate home, and to supply and manage support services.
  I/we understand that all relevant information will be passed on to the appropriate housing provider and any agency that will provide housing related support.
• 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 Coastal Housing 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 punishment 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.

• 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.