HOW TO COMPLETE YOUR

« DEMANDE D’AIDE AU LOGEMENT »

Please also complete a Art. L542-1 (ff) and L831-1(ff) of the French Social Security Code
« declaration de situation » form . Art. L351-1 (ff) of the French Construction and Housing Code
► Please enter your details
Name : ………………………………………………………………………….. First name : …………………………………….……………………
Date of birth :

Claimant number (if any): ……………….……………………………………..

Your French Social Security N° :

Address of the property which is the subject of the housing allowance application :……………………………………………………………….
………………. ………………………………………………………………………………………………………………………………………
Date you started living at the address

Is this property your main home ? yes no

► If you are renting accomodation or staying in a hostel

 Claimant  Claimant’s spouse, co-habiting partner or civil partner
 If you are a student, are you in receipt of a grant awarded on social  if he (she) is a student, is he (she) in receipt of a grant awarded on
criteria ?  yes  no social criteria ?  yes  no
Name and address of organisation paying grant : Name and address of organisation paying grant :
…………………………………………………………………….. …………………………………………………….……………
…………………………………………………………………….. …………………………………………….……………………

Are you staying :  in host family accomodation for which you are paying rent  in a hostel
 in the hotel or a boarding house  in a long-term care facility
If you are staying in a hostel , are you providing financial support to your familiy ?  yes  no
If any of the above situations applies to you, please tick the appropriate box and date and sign the form (you do not have to complete
the rest of the form).
If none of the above situations applies to you, please answer the following questions :
Are you related to your landlord ?  yes  no
If yes, state in what way ……………………………………………………………………………………………………………………………
Is your spouse, co-habiting partner or civil partner related to your landlord ?  yes  no
If yes, state in what way ……………………………………………………………………………………………………………………………….
Is your accomodation provided by your employer ?  yes  no
Are subletting part of your accomodation ?  yes  no
If yes, since when (date) ? Total floor area sublet : m2

Does your accomodation include one or more rooms used for business purposes ?  yes  no
If yes, since when (date) ? Total floor area of rooms used for business purpose : m2
Do not include balconies or terraces
Do you have additional expenses in connection with another property that you use for business purposes ?
 yes  no
If yes, since when (date) ?
Name and address of employer ……………………………………………………………………………………………………………………..
Nom and addresse of lessor …………………………………………………………………………………………………………………………
Please also join us :

- A « déclaration de situation » form completed by you.

- A « demande d’aide au logement » form completed by you.

- A « attestation de loyer » form completed by your landlord.

- A « déclaration de ressources » form completed by you.

- Your account number.

- Copy of your ID (identity card) or piece of marital status.

- Visa with « OFII » mention.