Declaration And Authority To Obtain Details From
Signing the declaration below means that you agree to the terms and conditions listed in sections 1 and 2.
All information provided by either yourself or a third party will be used for the sole purpose of enabling
Wigan Council to assess your application for housing in accordance with the Council’s Allocation Policy and
the Data Protection Act 1998.
I understand that Wigan Council will decide whether to give me a tenancy based on the information that I
have given on this form. The information that I have given is true and correct to the best of my knowledge. I
understand that if I give false or misleading information or do not provide relevant information, Wigan
Council may exclude me from the Housing Register. This means I will not be allowed a Wigan Council
I understand that Wigan Council, or any partner agency such as a Housing Association, can take back any
tenancy they have given me if I have provided false information. I will tell Wigan Council if my
I understand that I may need to provide two satisfactory references as part of this application. I give my
permission for Wigan Council to contact any person who has given me a reference to confirm the
I understand that Wigan Council may need to contact other agencies for information about me so they can
process my application and assess my suitability to be a tenant and abide by the conditions of tenancy. This
could include contacting Housing Benefits and Council Tax, other landlords, the Benefits Agency, Probation
Service, the Police and Social Services.
I give permission for Wigan Council to undertake identification verification and/or credit checks with an
external company to confirm my identity and help establish that I am able to afford the outgoings to manage
I give permission for Wigan Council to contact any relevant agencies, including my present and/or former
landlord. I give these agencies permission to share any information they hold on me with Wigan Council so
that they can deal with my housing application and any future tenancy. I understand that even if I do not
agree to allow this, some information can still be shared to prevent and detect fraud or if it is to stop me
Your Signature Date
If you are returning the form electronically, do you agree to the points in the declaration above?
Joint Applicant Signature
Please note: Your change of address form will not be accepted if you fail to sign this declaration. Please
contact Wigan or Leigh Life Centre or the Homefinder Service if you wish to discuss this further.