HOUSING ASSOCIATION NOMINATION REFUSAL FORM
Housing Needs Section
Swindon Borough Council
Euclid Street
Swindon SN1 2JH
Tel: 01793 445503
Web: www.Swindon.gov.uk
ONLY TO BE COMPLETED IF YOU ARE REFUSING A HOUSING ASSOCIATION PROPERTY
Name:………………………………..………Name (Joint Applicant)……..……..………………………..
Your address:……………………………………………………………………………………………
Housing Application Number:…………………
Address of property bid for ……………………………………………………..Property ID…….…
I / We Viewed / did not view the property on …………/…………/…………. and I am / we are
not accepting it for the following reasons:
………………………………………………………………………………………………………….
………………………………………………………………………………………………………….
………………………………………………………………………………………………………….
Have you informed the Housing Association of your decision Yes / No
SIGNED……………………………………SIGNED (Joint Applicant)……..…………………………....
DATE………………………………………………..DATE…………………………………
Please return the form for the attention of the Allocations & Advice Manager at the address
shown on the top of this form.
Data Protection
The information you provide will be used to monitor and record the reasons given for refusing a Housing Association
property and updating your housing application. This information may also be shared with other council departments.
__________________________________________________________________________________
OFFICE USE ONLY:
Passed to: Lettings Manager Date received……………………
Reason for property refusal: Agreed / Disagreed / Noted
Comments……………………………………………………………………………………………….
……………………………………………………………………………………………………………
Signed………………….………………………………….. date……………………………………..
Date letter sent to client: ………………./……………../…………………
Appeals:
File / appeal letter passed to Senior Housing Officer, Housing Services.
Officer dealing ………………………..…………………Date received ………/…………/…….…
Appeal Agreed / Disagreed signed…………………………….………………..Date……………..
Comments / action………………………………………………………………………………….
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
Letter sent to applicant regarding the outcome of the appeal …………./………../…….….
Refusal form updated May 2016
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