Application for Garage Tenancy / Secure Parking How to apply This form is for you to apply for a garage / secure parking tenancy, please complete all sections of the form as it will be returned to you if it is not fully completed. You will be required to provide proof of identification and income as applicant. If you require this information in another language or format, contact us on 01902 556789 Arabic اذا آنت بحاجة الى هذه المعلومات بلغات أو في أشكال أخرى اتصل بنا على 556789 01902 Bengali aনয নয ভ ষ ব ফরময ট ei তথয আপন র p য় জন হ ল, 01902 556789 নm র আম দর স থ য গ য গ কর ন Farsi اگر اين اطلاعات را به زبان يا فرم ديگری احتياج داريد با ما به تلفن 01902 556789 تماس بگيريد Gujarati તમન બ જ ક ઈ ભ ષ મ અથવ બ જ ક ઈ ર ત મ હત મ ળવવ હ ય ત અમન 01902 556789 પર ક ન ટ ક ટ કર. Hindi अगर आप यह ज नक र द सर भ ष य र प म च हत ह त हम 01902 556789 पर स पकर क जए Kurdish دووباره به هه مو زمانه آانی سه ره و ي ه گه ر به رێزت ي ه و زانياريانه به زمانێكی تر يان فۆرماتێكی تر پێويسته په يوه نديمان پێوه بكه به 01902556789 Polish Jeżeli potrzebujesz tych informacji w innym języku czy formacie, prosimy o kontakt pod numerem telefonu 01902556789. Punjabi URDU اگر ا پ کو يہ معلومات کسی اور زبان يا فورميٹ ميں چاہے تو ہم سے 01902 556789 پر رابطہ کريں Please tell us your name, date of birth and national insurance number Title First Name Last Name Date of Birth Male/Female National Insurance No Please tell us your address (incl. postcode) WHHM2137 1 December 2013 (issue 5)
How would you prefer us to contact you? (Please indicate with number) Mobile Telephone Number: Landline Telephone Number Text Number Email Address By post (include address if different from above) Are you a: Council Tenant / Council Leaseholder / Owner / Private Tenant If you are a council tenant, who manages the property you live in? Wolverhampton Homes / Springfield Horseshoe Co-operative / Dovecotes TMO / Bushbury EMB / New Park Village Co-operative (circle as appropriate) Are you a registered disabled person? Yes/No * Blue Badge number: If you need an interpreter please tick the language you require. Arabic Russian Kurdish Bengali Somali Polish Dari Urdu Punjabi Farsi Gujarati Other, please state French Hindi Please tell us your Ethnic Identity White British Irish Any other white background Mixed White & Black Caribbean White & Black African White & Asian Other dual heritage Asian or Asian British Indian Pakistani Bangladeshi Other Black or Black British Caribbean African Other Chinese or other Ethnic group Chinese Other Gypsy, Romany & Irish Traveller Gypsy Romany Irish Traveller Don t wish to say Please tell us your Nationality UK national - resident in UK Slovakia UK national returning from Poland residence overseas Latvia Czech Republic Lithuania Estonia Hungary Other EEA country which are: Austria, Belgium, Republic of Cyprus, Denmark, Finland, France, Germany, Greece, Iceland, Ireland, Italy, Liechtenstein, Luxembourg, Malta, Netherlands, Norway, Portugal, Spain, Sweden Please tell us your Religion or belief Christian Buddhist Hindu Sikh Muslim Jewish None Any other Don t wish to say Please tell us your Sexuality Heterosexual/straight Lesbian Gay man Bisexual Don t wish to say WHHM2137 2 December 2013 (issue 5)
Where would you like a garage? In order of preference (PLEASE check Wolverhampton Homes web site - www.wolverhamptonhomes.org.uk - for current garage sites available before choosing from the list below) 1. 2. 3. Bilston Area Alamein Road, Portobello Alice Street, Bilston Town Arnhem Road, Portobello Arthur Greenwood Court, Beckett Street, Bilston Bellevue Road, Bradley Millfields Brierley Lane, Bradley Brook Street, Bilston Town Bulger Road, Greens Lane Carder Crescent, Bilston Earl Street, Bilston Town Ernest Bold Court, Millfields Fairway Green, Stowlawn Fraser Street, Bilston Frost Street, Ettingshall Gozzard Street, Bilston Green Lanes, Bilston Green Park Avenue, Stowlawn Greencroft, Bilston Town Hall Green Street, Bradley Hincks Street, Ettingshall Hurst Road, Hurst Hill Jenkins Close, Millfields King Street, Bradley Langdale Drive, Off Cumberland Lester Street, Bilston Lime Grove, Stowlawn, Road Marchant Road, Green Lanes Meldon Drive, Bradley Mervyn Road, Bradley Mill Street, Millfields Mount Pleasant, Bilston Oaklands Green, Stowlawn Pirbright Close, Bradley Stirling Road, Bradley Villiers Avenue, Green Lanes Warwick Street, Bilston Wilkinson Avenue, Bradley Wolverhampton Street, Millfields Old Heath and East Park Abingdon Road Astbury Close Brooklands Parade Duke Street East Park Way Eastfield Grove Essington Way Hollington Road Jonesfield Crescent Old Heath Road Plascom Road Purslet Road Rudge Avenue St Giles Crescent Thornton Road Willenhall Road Wednesfield Area Acorn Road, Ashmore Park Alfred Squire Road, Wednesfield Ashmore Ave, Ashmore Park Baylis Avenue, Ashmore Pk Bealeys Avenue, Long Knowle Blackham Rd, Ashmore Park Blackwood Avenue, Long Knowle Bradburn Rd, Long Knowle Bramerton Cl, Prestwood Rd Brindley Ave, Ashmore Park Cannock Road, Fallings Park Castlebridge Gdns Perry Hall Chevil Rise, Heath Town Clover Ley, Heath Town Coppice Close, Ashmore Pk Coronation Rd, Heath Town Drummond Close, Ashmore Pk Ferguson St Site, Ashmore Pk WHHM2137 3 December 2013 (issue 5)
Gorse Road, Ashmore Park Griffiths Drive, Ashmore Pk Guest Avenue, Long Knowle, Haden Crescent, Perry Hall Higgs Road, Ashmore Park High Street, Wednesfield Town Hobgate Road, Heath Town Hodson Cl, Ashmore Park. Hylstone Crescent, Moathouse Lawrence Avenue, Perry Hall Leveson Road, Ashmore Park Lyd Close, Nordley, Merrick Road, Perry Hall Moat House Lane East, M/house Parry Road, Ashmore Park Perks Road, Ashmore Park Pickering Road, March End, Ridge Lane, Wood End Pritchard Avenue, Wednesfield Snape Road, Ashmore Park Southall Road, Ashmore Park Torridge Drive, Nordley Wolverhampton Road, Heath Town Woodside, Ashmore Park Merry Hill Area Aldersley Close, Aldersley Aldersley Road, Aldersley Ash St, Chapel Ash Ashenden Rise, Castlecroft Austin Street, Whitmore Reans Beach Street, Woodcross Bevan Avenue, Parkfields Birmingham New Road, Parkfields Boscobel Crescent, Whitmore Reans Brantley Avenue, Finchfield Brockhurst Drive, Dunstall Bromfield Court, Tettenhall Wood Castlecroft Road, Castlecroft Chelmarsh Ave, Castlecroft Childs Avenue, Woodcross Clare Crescent, Woodcross Claverley Drive, Warstones Cornwall Road, Castlecroft Douglas Place, Oxley Evans St, Whitmore Reans Field Head Place, Tettenhall Wood Fozdar Crescent, Woodcross Genge Avenue, Parkfields Great Hampton Street, Whitmore Reans Hackett Close, Woodcross Hessian Road, Wednesfield Highfields Court, Warstones Hilton Road, Lanesfield Hordern Road, Whitmore Reans Hordern Gdns, Whitmore Reans Hurst Road, Woodcross Kenilworth Crescent, Parkfields Lawnswood Avenue, Parkfields Limehurst Avenue, Finchfield Lowe Street, Whitmore Reans Lynton Avenue, Claregate Manor Street, Tettenhall Merridale Court, Graisley Newman Avenue, Lanesfield Norbury Crescent, Lanesfield North Road, Dunstall Oak Street, Chapel Ash Orchard Crescent Merry Hill Parkfield Grove, Parkfields Pendeford Avenue, Claregate Penk Rise, Tettenhall Pennwood Court, Warstones Pointon Close, Woodcross Reedham Gardens, Penn Rough Hills Close, Parkfields Russell Court, Graiseley Sandy Hollow, Off The Holloway Skidmore Avenue, Bradmore St Michaels Court, Tettenhall Wood St Philips Grove, Bradmore Star Street, Bradmore Swancote Drive, Warstones Swann Road, Woodcross Thompson Avenue, Parkfields Turner Avenue, Woodcross Upper Street, Tettenhall Vauxhall Estate Warstones Gardens, Penn Warstones Road, Warstones Westacre Crescent, Castlecroft Windmill Lane, Castlecroft Wolverhampton Road East Woodcross Street, Woodcross WHHM2137 4 December 2013 (issue 5)
Low Hill Area Brinsford Road, Fordhouses Browning Crescent, Fordhouses Chetton Green, Harrowby Rd Dickinson Avenue, Low Hill Elmdon Road, Rakegate Elston Hall Terrace, Bushbury Foster Road, Low Hill Hampton Road, Rakegate Masefield Road, Scotlands Oldfallings Crescent, Low Hill Primrose Avenue, Bushbury Princess Court, Fallings Park Queens Court, Fallings Park Redcotts Close, Fallings Park Renton Grove, Rakegate Second Avenue, Low Hill Tennyson Road, Scotlands Wentworth Road, Bushbury New Park Village Area Audlem Walk Ellerton Walk Malpas Walk New Park Village Orslow Walk, Shawbury Rd, Fallings Park Valley Road NOTE: Garage tenancies are allocated in date order to applicants living in Wolverhampton. A garage tenancy will only be offered to a Council tenant if their account and tenancy are maintained satisfactorily. All garage tenants are required to pay the rent by Direct Debit, one month in advance. An occupier of privately owned property can only be granted a garage tenancy if there is no Council tenant / leaseholder willing to take the tenancy If a tenant or leaseholder rents a garage outside the reasonable proximity rule, VAT is chargeable. Reasonable proximity dwelling and garages being on the same estate and within easy walking distance. If a tenant of leaseholder rents more than 2 garages, VAT is payable. * Blue Badges for disabled drivers are awarded by Wolverhampton City Council DECLARATION This form has been completed honestly to the best of my/our knowledge. I give permission for Wolverhampton Homes to carry out checks on the information given to confirm that the details supplied are correct. Applicant Signature: Date: WHHM2137 5 December 2013 (issue 5)
Offices Wolverhampton Homes City Centre 29 Market Street Wolverhampton WV1 3AG Bilston Bilston Town Hall Church Street Bilston Wolverhampton WV14 0AP Low Hill Showell Circus Low Hill Wolverhampton WV10 9LJ Merry Hill Leasowes Drive Merry Hill Wolverhampton WV4 4PZ Wednesfield Alfred Squire Road Wednesfield Wolverhampton WV11 1XU Heath Town 290 Chervil Rise Heath Town Wolverhampton WV10 0HR For all telephone enquires please contact Homes Direct on 01902 556789. Also available in large print, please telephone 01902 556789 for a copy. Tenant Management Organisations Springfield Horseshoe Housing Co-operative 27 Burton Road Springfields Wolverhampton WV10 0EG Telephone: 01902 552872 New Park Village Tenant Management Co-operative Ellerton House Ellerton Walk New Park Village Wolverhampton WV10 0UG Telephone: 01902 552670 Dovecotes Tenant Management Organisation 88 Ryefield Pendeford Wolverhampton WV8 1UD Telephone: 01902 552780 Bushbury Hill Estate Management Board 14 Kempthorne Avenue Low Hill Wolverhampton WV10 9JG Telephone: 01902 552995 www.wolverhamptonhomes.org.uk WHHM2137 6 December 2013 (issue 5)