Fillable PRESCRIBED INFORMATION RELATING TO TENANCY DEPOSITS

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PRESCRIBED INFORMATION RELATING TO TENANCY DEPOSITS

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PRESCRIBED INFORMATION RELATING TO TENANCY DEPOSITS
Tenancy details
The landlord or letting agent protecting this tenancy deposit must give Prescribed Information to all tenants at the property
in accordance with The Housing (Tenancy Deposits) (Prescribed Information) Order 2007. They must do this within 30 days
of receiving the deposit from the tenant. It informs the tenant about the deposit protection measures the landlord or letting
agent has taken, the scheme contact details, and procedures that apply regarding the protection and return of the deposit.
The landlord or letting agent must provide a copy of The DPS terms and conditions to the tenant with this form. This can be
downloaded from www.depositprotection.com.
The DPS has provided this document by way of information only. The DPS accepts no liability for its contents. It’s the Landlord(s)
responsibility to ensure it is accurate and given to the tenant (or tenants) within 30 days of receipt of the deposit. They should also give
the tenant the opportunity to review and sign this document.
Tenancy address: Deposit amount:
Landlord or letting agent’s details:
Name:
Address:
Telephone:
Email:
Fax:
Contact details
Your deposit is protected with The Deposit Protection Service (The DPS). They are approved by the Ministry of Housing,
Communities and Local Government for this purpose. Here’s how you can contact them if you need to.
by post: The DPS
The Pavilions
Bridgwater Road
Bristol
BS99 6AA
Call: 0330 303 0030
Email: contactus@depositprotection.com
Website: www.depositprotection.com
How the scheme works
Information supplied by the Scheme Administrator to the Landlord explaining the operation of the provisions contained in the
statutory scheme.
Please see section 3 of The DPS Custodial Terms and Conditions
To: (insert names of all tenants and any other person (third party) paying a tenancy deposit on behalf of a tenant)
Reset
Deposit repayment
Information on the procedures applying for the release of the deposit at the end of the tenancy, including where either the
Landlord or the Tenant can’t be contacted.
Please see section 14-19 of The DPS Custodial Terms and Conditions
Deposit disputes
Procedures that apply under the Scheme where the Landlord and the Tenant dispute how the deposit should be repaid, and the
facilities available to resolve a dispute without recourse to litigation.
The DPS Dispute Resolution Service is a free, straightforward way of resolving deposit disputes at the end of a tenancy. The
alternative option is to go through the courts, which can be costly and take a long time.
When using this service, your dispute will be reviewed by a legally-trained adjudicator. They’ll review the evidence you and
your tenant provide and issue a detailed decision within 28 days.
Please see section 20-23 of The DPS Custodial Terms and Conditions
Tenant details
Add this information for all tenants in the tenancy.
Tenant 1 Tenant 2 Tenant 3 Tenant 4 Tenant 5
Name:
Address:
Telephone;
Email:
Fax:
Contact address
to be used by The
Landlord at the end
of the tenancy:
It’s the responsibility of each tenant to advise The DPS of any changes to their contact details, including providing
forwarding contact details and address at the end of the tenancy.
Details of third parties paying the deposit
If the deposit is being paid by a third party, record their details here. If additional third parties are paying the deposit,
please record their details on a separate sheet and attach it to this document
Name of third party
making the payment:
Address:
Telephone:
Email:
Circumstances when all or part of the deposit may be retained by the landlord or letting agent
For details of the circumstances when the landlord or letting agent may retain part or all of the deposit, please refer to the
following clauses of the tenancy agreement.
Please insert relevant clauses from your tenancy agreement here.
I/We (being the landlord or letting agent) certify that –
(i) The information provided is accurate to the best of my/our knowledge and belief
(ii) I/Wehavegiventhetenant(s)theopportunitytosignthisdocumentbywayofconfirmationthattheinformationis
accurate to the best of the tenant(s) knowledge and belief
Landlord(s): Signature(s):
Dated:
All tenants at the tenancy should sign this form and send a copy to their landlord or letting agent.
Tenant(s): Signature(s):
Dated:
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Completed 21 December 2021

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