ID 111653

Band Silver
Type Housing
Created 11th December 2023 16:29
Last Submitted
Section 1 - Main & Joint Applicant Details Date
14th February 2024 14:00
Updated 11th December 2023 16:29
Main Applicant Relevant Date 11th December 2023

Title Mr

Surname Lewis

First Name Dilwyn

Other Names

National Insurance No YL490077C

Date of Birth 23rd December 1949 (74)

House / Flat No 7

Address Line 1 7 Siddal Grove

Address Line 2

Address Line 3

Town / City Halifax

Postcode HX3 9AQ

Date moved into your current address 1st September 1993

Can we contact you at this address? No

Correspondence House / Flat No 7

Correspondence Address Line 1 7 Upper Exley Lane

Correspondence Address Line 2

Correspondence Address Line 3

Correspondence Town / City Halifax

Correspondence Postcode HX3 9LQ

Home Telephone 07984097613

Mobile Telephone 07984097613

Work Telephone

Email Address glyn543@gmail.com

How would you like us to contact you? Phone, Email, Text

Do you need information in any of these formats?

Preferred language English

Needs magnifying sheet No

Gender Male

Are you or any member of your household subject

No
to any form of immigration control?
Are you applying with a joint applicant? No

Are you or any joint applicant a member of Chevin

Housing staff or related to a member of staff or No
board member?

I have read and accept the under occupation alert Yes

Please contact me to discuss under occupation

No
further

Section 2 - Where would you like to live

Please choose the areas of Calderdale in which you Elland

would prefer to be rehoused Halifax Central

Bungalow
Preferred property type(s) Flat
House

How many bedrooms do you require? 1

Has a local connection to the following areas

Why do you want to move to this area?

Name and address of local connection

Have you lived in the area for the past 12 months? Yes

Have you lived in the area for a period of 10 years

Yes
continuously before this?

Do you need help to bid/express an interest in any

No
vacancies?

What floor level do you need? House

Have you ever had your own tenancy or owned

Yes
your own home before?

Do you need help to manage your tenancy? Yes

Adaptions needed in new home None required

Are you interested in Shared Ownership? No

Are you interested in Extra Care accommodation? No

Section 3 - Why do you want to move

Are you homeless now? No

Leaving the armed forces No

Urgent medical need No

16 to 18 year old leaving care No

Living in severely unsatisfactory conditions No

Urgent transfer No
Urgent need to give or receive support No

At risk of homelessness within 28 days No

Financial/Employment/Specialist Education No

Living in poor or unsatisfactory conditions Yes

Sharing facilities

Substantial & long term medical need No

Less urgent welfare need No

Less urgent transfer No

Non urgent medical need No

Less urgent need to give or receive support No

I want to move but I do not have any of the above

No
needs to move

I have struggled to maintain my own home, I have lived in the property

without a boiler or electricity for a number of years. I am currently living
temporarily with my brother, Glyn. I have been hoarding belongings, my
Please give further details explaining why you want
floor has fallen through and my cellar has flooded, my home is not safe to
to move
occupy and I cannot afford to fix it. I have approached Housing Options,
who have referred me to the Hoarding Panel and Gateway to Care for
further support to prevent this from happening again.

Section 4 - Household details

Are there any other household members that need

No
rehousing with you?

Will these household members be living with you

Yes
full time?

How many people live in your current home? 0

Do you have any pets? No

Section 5 - Your current property

What type of property do you currently live in? House

What floor level do you currently live on? House

In your current home are you Homeowner

How many bedrooms does your current property

2
have?

Support currently received by people who need Social worker

rehousing Other

Awaiting support from The Hoarding Panel and Gateway to Care. I have a
Please give details memory assessment on 20th December. My brother and non con-habiting
partner help me with my affairs.
Section 6 - Address history
No previous addresses have been specified.

Section 7 - Employment and bank details

Employment status (main applicant) Retired

Do you have a bank account? Yes

Section 8 - Criminal convictions

Do you or anyone living in your household have

No
any criminal convictions that are not spent?

Section 9 - Other details

Have you or anyone who wants to be rehoused by

you been evicted from Council, Housing
No
Association or other registered social landlord for
any reason?

Are you or anyone in your household wishing to be

rehoused the subject of an anti-social behaviour No
order (ASBO) or injunction?

Do you or a joint applicant have rent arrears? No

Section 10 - Advocate or next of kin details

Would you like to give us details of an advocate or

Yes
next of kin?

Title Mr

Surname Lewis

First Name Glyn

Address 7 Upper Exley Lane, Halifax, HX3 9LQ

Home Telephone 07984097613

Mobile Telephone 07984097613

Relationship to main applicant Brother

Section 11 - Ensuring equal treatment

Main Applicant

Surname Lewis

First Name Dilwyn

Ethnicity English

Nationality UK national resident in UK

Religion Prefer not to say

Restricted mobility
Heart condition
Disability/Illness
Physical disability
Hard of hearing

Section 12 - Declaration & application submission

Agreed with submission declaration Yes