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Before viewing a home

The form and budget calculator you need to fill in when you receive your offer letter

Go to form

There's a few things we need to know

Next steps

It’s really important you fill in the budget calculator and the form below within 2 days of being offered a property.

This is so we can make sure the home you’re being offered is right for you.

1. Go to the betteroffcalculator website (link opens in new window) to complete the budget calculator

2. Fil in the form below

3. Your details will be assessed within 5 days and we'll be in touch with you.

What's the address of the property you've been offered?

Address *

Postcode *

Is the property you are being offered in a different Local Authority area than where you are currently living? *

Yes

About you - this will be the first person on the tenancy

Title

Full name *

Gender

❋ optional. Protected Characteristic - only provide this information with explicit consent

Date of birth *

❋ dd/mm/yy

National Insurance number *

Ethnic Origin

❋ optional. Protected Characteristic - only provide this information with explicit consent

Daytime telephone number *

Email address *

Are you related to a member of staff at VIVID *

Yes

If yes, who?

❋ If you are related to someone at VIVID, who is it?

Do you have a health condition that we need to be aware of?

❋ optional. Protected Characteristic - only provide this information with explicit consent

How are you affected by your condition or illness?

❋ optional. Protected Characteristic - only provide this information with explicit consent

Do you receive support from an external agency, friend or family member? *

Yes

If yes, please give us the details of who you receive support from and what this is for.

Does anyone in your household use a mobility scooter? *

Yes

❋ Please tick yes or no

Who's your emergency contact? *optional

Name

❋ This should be someone outside of your household

Phone number

Address

Email address

Relationship to you

Do you have an appointee or someone you want us to talk to about your new home? *optional

Name

Phone number

Address

Email address

Relationship to you

Do they have power of attorney?

Yes

Staying in contact

How would you prefer us to contact you? *

Do you have any translation or literacy requirements? We may not always be able to translate information, but where we can support you we will.

❋ optional. Protected Characteristic - only provide this information with explicit consent

If you need translation or literacy support as shown in the question above, then please select your language.

❋ We may not always be able to translate information, but where we can support we will.

We’d like to understand how we can adapt and support our customers' communication needs.  Please select from the options below that you feel would support you better and you’d like us to take into consideration. We may not always be able to deliver this, but where we can support you we will.

Please give details of the joint tenant (tenant 2)

Title

Full name

Gender

❋ optional. Protected Characteristic - only provide this information with explicit consent

Date of birth (dd/mm/yy)

❋ dd/mm/yy

National Insurance Number

Ethnic origin

❋ optional. Protected Characteristic - only provide this information with explicit consent

Daytime telephone number

Email address

Do they have a health condition that we need to be aware of?

❋ optional. Protected Characteristic - only provide this information with explicit consent

How are they affected by this condition or illness?

❋ optional. Protected Characteristic - only provide this information with explicit consent

Do they receive support from an external agency, friend or family member?

Yes

If yes, please give us the details of who they receive support from and what this is for.

Who's your emergency contact? (tenant 2) *optional

Name

❋ This should be someone outside of your household

Phone number

Address

Email address

Relationship to you

Do you have an appointee or someone you want us to talk to about your new home? (tenant 2) *optional

Name

Phone number

Address

Email address

Relationship to you

Do they have power of attorney?

Yes

Staying in contact (tenant 2)

How would you prefer us to contact you?

Do you have any translation or literacy requirements? We may not always be able to translate information, but where we can support we will.

❋ optional. Protected Characteristic - only provide this information with explicit consent

If you need translation or literacy support as shown in the question above, then please select your language.

❋ We may not always be able to translate information, but where we can support we will.

We’d like to understand how we can adapt and support our customer’s communication needs.  Please select from the options below that you feel would support you better and you’d like us to take into consideration. We may not always be able to deliver this, but where we can support we will.

Who else will be living with you, that won't be on the tenancy? (make sure you add every person, even children)

Title

Full name

Gender

❋ optional. Protected Characteristic - only provide this information with explicit consent

Relationship to you

Date of birth

❋ dd/mm/yy

What's their economic status?

Do they have a health condition that we need to be aware of?

❋ optional. Protected Characteristic - only provide this information with explicit consent

How is this person affected by their condition or illness?

❋ optional. Protected Characteristic - only provide this information with explicit consent

Please provide more information on this condition or illness

❋ optional. Protected Characteristic - only provide this information with explicit consent

What benefits are you currently in receipt of? Please tick all that apply

Carer’s allowance

Attendance Allowance

Housing Benefit

Council Tax Benefit - Pensioner age

Council Tax Relief – Working Age

Personal Independence Payment (PIP) – Care

Personal Independence Payment (PIP) – Mobility

Disability Living Allowance (Child) – Care

Disability Living Allowance (Child) - Mobility

Disability Living Allowance (Adult) – Care

Disability Living Allowance (Adult) - Mobility

Universal Credit

Employment and Support Allowance

Income Support

Job Seekers Allowance

Pension Credit

State Pension

Other

If anyone in the household is working, what is their take home pay monthly? *

Is anyone pregnant in the household?

Yes or no *

Yes

If yes, what's their name?

When's the baby due?

❋ dd/mm/yy

Do you have any pets?

If yes, how many pets do you have?

What type of animals are they?

Where do you live now? We need 5 years of address history

Address *

Postcode *

Are you living *

Landlord's name *

How much notice do you need to give your current landlord? VIVID will not be able to hold a property whilst your notice expires *

Landlord's address *

Landlord's contact number *

How long have you lived here for? *

How much was your rent? *

Do you owe any money to your landlord? *

Yes

Why are you moving?

If other, please specify the reason

Please tick the box to confirm that you’re aware that four weeks rent is payable at sign up. If you are unable to make this payment then you will need to contact us to discuss.

Do you have access to or able to purchase furniture and/or white goods to be able to setup your new home? We may be able to refer to charities or refer to our Welfare fund subject to meeting eligibility requirements. *

Yes

Where have you lived before?

Previous address

Landlord's name

Landlord's address

Date from

Date to

Why did you leave?

Where's the second tenant lived before? We need 5 years of address history

Previous address

Landlord's name

Landlord's address

Date from

❋ dd/mm/yy

Date to

❋ dd/mm/yy

Why did they leave?

Property ownership

Do you currently own or have a financial interest in a property, including shared ownership? *

Yes

If yes, what's the value of the property?

How much mortgage is outstanding?

❋ in £s

If it's a shared ownership property, what percentage do you own?

Offences

Has anyone (including you) who'll live with you, ever been convicted of a criminal offence? *

Yes

If yes, who and what?

Has anyone (including you) who'll live with you, ever breached a tenancy agreement? *

Yes

If yes, who and how?

Additional information

Is there anything else you’d like us to be aware of about you, your household or your application?

Your agreement and Data Protection stuff

Under the Data Protection Act 2018, the UK GDPR, and any other data protection legislation, VIVID may share your information with other housing providers, Government agencies, energy suppliers, local councils, the police, social services, referencing agencies, contractors working on our behalf (like repair contractors, debt recovery and survey agencies) and other third parties. VIVID does this to make sure that only people eligible for our homes access them, to provide new homes, manage existing homes, handle claims, prevent fraud, keep communities safe, recover money they are owed, make sure that people pay for all the services they receive at their homes and improve how we deliver our services.

I give permission for VIVID to take up references about me and my household, run credit and residency checks, get information from the police and other agencies about me and my household, share information with the agencies above about me and my household, use the information I provide to update their customer records and to provide housing where appropriate, and to access my/our full financial data for the purposes of assessing affordability and to assist with the investigation of fraud

I understand if any of the information I provide is found to be incorrect or untrue, VIVID may not consider me for housing. If this happens after I’ve been offered a tenancy, VIVID will take legal action to repossess the property

I/We declare that the information in this form is true. I/We undertake to give notification of any changes that may occur as this may alter the priority of my/our application. I/We understand that any false or misleading statement or the withholding of any relevant information may result in my/our application being cancelled or any tenancy granted to me/us being terminated or may lead to prosecution for criminal offences. If you're granted a tenancy you will be asked to sign-up to our Data Protection Policy. If you would like any further information on any of our policies including our Allocation Policy please contact us and we will provide you with a copy

Collecting information about ‘Protected Characteristics’ is important to ensure everyone is treated fairly and equally. This information helps us identify and address how we can better support you though our services. You can find out more about the way we handle your data by visiting https://www.vividhomes.co.uk/privacy-notice. By ticking the consent box, you agree to VIVID processing yours and your household's data relating to ‘Protected Characteristics'.

More homes, bright futures

Peninsular House, Wharf Road, Portsmouth, PO2 8HB.

VIVID Housing Limited is registered in England and Wales as a registered society under the Co-operative and Community Benefit Societies Act 2014 under number 7544 with exempt charitable status and as a registered provider of social housing with the Regulator of Social Housing under number: 4850. We’re authorised by the Financial Conduct Authority, number 776452. Our registered office is at Peninsular House, Wharf Road, Portsmouth, Hampshire, PO2 8HB.

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