Test page

You may wish to provide us with an additional contact in case we are unable to contact your Next of Kin. This can be a friend or family member

We require a copy of your Medical Summary which is a brief document obtainable from your GP. This is currently not subject to any charges. You must contact your GP to prevent your application being delayed.

How much you would have to pay depends on your income and capital. You will be asked to verify this information and sign a financial declaration.

Please note that in the event of a tenancy being offered and taken up, where it is discovered that a tenant has deliberately given false information in their application for a tenancy, a County Court can make an order for possession of the dwelling on behalf of the Landlord under schedule 2 of the Housing Act 1985 and no alternative accommodation need be provided.

The information contained on this form could be required for calculation of Housing Benefit or Universal Credit, or to assess if there has been a deprivation of assets. I/we agree for this information to be made available to the relevant Local Authority or Government departments.

If I/we are successful in our application I/we understand that Jewish Blind & Disabled may ask for evidence of my finances and for additional medical information.

Click here to view details of our privacy Policy