Isle of Wight Council

Change of Circumstances to Housing Register Application

	Please complete this form if you wish to notify Housing Services of a change in your circumstances.
	Housing and Community Support Services 7 High Street, Newport Isle of Wight, PO30 1SS Telephone number: 01983 823040 / Fax number: 01983 823050 e-mail: [email protected]
	Please be aware that as the housing register is points based, certain changes may increase or decrease your points, and priority (according to your individual circumstances). Therefore your position on the Register may go up, or down. Please click here to read how Points are Awarded to Housing Register Applicants
	If the change you wish to notify Housing of is a change of address, or a significant change to your original application, you will be forwarded a new application form to complete. Some changes, for example to the areas you wish to be housed can be made without having to complete a new form. Please click here to Complete the Housing Register Application Form

	Details of Change
	Please indicate which of the following circumstances have now changed: (Check all that apply)
*	Applicant Details Joint Applicant Details Your Residency Status Your Immigration Status Other People to be Housed Your Current Accommodation Your Present Housing Your Income & Employment Your Health, Welfare & Support Needs Housing Required Other

*

Please use this space to provide us with further information about what's changed:

Your Details

	Title
*	Forename
	Middle name/Initials
*	Surname

*	Building/house name/number
*	Street address
*	Town name
	County
*	Postcode
	Tel number (include area code)
	Mobile Tel number
	Email address

	Data Protection Act 1998
	This application may be monitored by the Isle of Wight Council for regulatory, quality control or crime detection purposes. Information from this application will be processed in accordance with the Data Protection Act 1998 for the purpose of processing your particular enquiry/request. The Isle of Wight Council ("the Council") is the data controller. By completing this form you consent to the Council contacting you by email or nominated contact method in relation to your enquiry/request. The information contained in this application may, in exceptional circumstances, be subject to disclosure to third parties under either the Data Protection Act 1998 or the Freedom of Information Act 2000 to the extent the law allows and in accordance with the Isle of Wight Council's Access to Information Policy. Disclosure will only be made where in all the circumstances it would be fair to do so and in the public interest. Please note that the Council may process your information in the absence of consent for the purpose of crime prevention or detection so far as is in accordance with the law. Sometimes we may use your information to keep you informed about services, goods or relevant issues that we believe may be of interest to you. If you wish to receive this information for these purposes please tick this box To improve the quality of other services that we provide to you the Council wishes to hold your non-sensitive personal information on a secure central database. This will enable all Council services to use this information when they are providing a service to/for you. If you wish your non-sensitive personal information to be held by the Council please tick this box

Date printed: 07/03/2013