When you have completed all sections of this form and made your online payment, email
this form to housing.standards@trafford.gov.uk
Regulatory Services Application Form
Inspection for an Accommodation Certificate
IMPORTANT: Accuracy is vital for all the answers on this form. If the application is
successful, the certificate will be based on the information provided.
Address of the premises to be inspected
Address line 1
Address line 2
Town/City Postcode
Owner of the premises to be inspected
Name
Address line 1
Address line 2
Town/City Postcode
Email address Telephone
Who should we contact to arrange the inspection?
Tick this box if we should contact the owner (details above) or provide details
Name
Email address Telephone
Sponsor (the person making the request for the certificate)
Tick this box if the sponsor is the owner of the property or provide details
Name
Address line 1
Address line 2
Town/City Postcode
Email address Telephone
When you have completed all sections of this form and made your online
payment, email this form to housing.standards@trafford.gov.uk
Who will be entering the UK to live at the premises to be inspected?
Name Sex Date of birth Relationship to Sponsor
Who are the people already living at the property to be inspected?
Name Sex Date of birth Relationship to Sponsor
You must submit payment at the same time as this form. You should make
payment online using a debit or credit
card.
www.trafford.gov.uk/pay/environmental-health.aspx
To ensure that your payment is credited to your application, please provide your
payment reference.
Online payment reference
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