19. Declaration and signature/s
This must be signed before submitting your application.
- It is a criminal offence to knowingly provide a false statement or withhold
information to assist you in obtaining accommodation from Tamworth Borough Council or a
housing association or private housing provider nominated by us. We will take legal action
against anyone found committing an offence and may also seek possession of any
- Tamworth Borough Council is the Data Controller for all personal data
collected in this application. We collect your personal information under Legal Obligation to
allow us to provide administration for your application. We may share your personal
information with third-parties where required to by law or where it is necessary to process
your application. Full details for types of personal information we collect, purpose we collect
it, third-parties we share it with, third-party services providers and how we maintain the
security of your information can be found in our Fair Processing Notice
www.tamworth.gov.uk/privacy-notice - a hard copy is available upon request. Please ensure
you read our fair processing notice before submitting your personal information to us.
Information you give us will be kept for no longer than necessary. Our Retention Schedule
can be found at www.tamworth.gov.uk/sites/default/ﬁles/privacy/Retention-Schedule.pdf
Please read this declaration carefully before you sign and date it. If you are making a
joint application, both applicants must sign. Once you sign and date this form it
becomes a legally binding document. If there is any part of the declaration you do not
understand, it is your responsibility to ﬁnd someone to explain it to you. Tamworth
Borough Council’s customer service centre has trained staff who can explain anything
you do not understand.
To the best of my knowledge and belief the information that has been provided on this form is
true, complete and correct.
I will immediately declare any changes in this information.
I understand that if I give false or misleading information or I omit information for the purpose of
obtaining housing, it may be regarded as a criminal offence and action could be taken against
me, including refusal of my application, court action and recovery of property.
I understand that the information I have provided will be used to help determine my eligibility for
housing, and that any information given by me relating to this housing application, or given with
my consent by others, will be placed on Tamworth Borough Council’s housing register. Where other
people’s personal information is given on the form, I conﬁrm that they have consented to its use.
I give permission for you to contact individuals or agencies referred to by me on this form, when
necessary, and also other individuals and agencies in order to process my application.
Applicant's signature Date
Joint applicant's signature Date
Please note: We cannot
accept the form without:
- Your signature and date
- The signature and date of
any joint applicant
- ID for everyone on the
- All relevant proofs requested
in section 1, and ticked