PREVENTION OF HOMELESSNESS APPLICATION FORM
Priority for “Prevention of Homelessness” is awarded at Silver level.
A Silver priority pass will be issued to persons assessed by either Scottish Borders Council (SBC) or BHA as being threatened with homelessness. Examples of this include, but are not limited to:
Relationship breakdown (non-BHA tenants) Living in an insecure tenancy such as tied accommodation or having a Short Assured Tenancy which is coming to an end within 2-6 months Having a relationship breakdown with parents or another occupant of the home Having financial difficulties in making rent or mortgage payments within the current home Is living in a mobile home (not static)
In order to assess your Prevention of Homelessness Priority application, please complete form in full.
APPLICATION: Homehunt Registration Number ______
Your Name ______
Your Address ______
Telephone: Home ______Work ______Mobile ______
Prevention of Homelessness
Have you/are you
had a relationship breakdown and are a non-BHA tenant? Yes No
if Yes, please give details of your relationship ______
living in an insecure tenancy such as tied accommodation Yes No or having a Short Assured Tenancy which is coming to an end within 2-6 months?
if “Yes”, please give details of your tenancy tenure ______
had a relationship breakdown with parents or another Yes No occupant of the home?
if “Yes”, please give details of your relationship breakdown ______
having financial difficulties in making rent or mortgage Yes No payments within the current home?
if “Yes”, please give details of your financial situation ______
living in a mobile home (not static)? Yes No
if “Yes”, please give details of your financial situation ______
Please sign here ______Date ______
I confirm that the information I have given is correct and that I have not supplied any false or misleading information, or withheld any relevant information. I agree to the use of this information in accordance with the data protection notice as stated in the ‘Berwickshire Housing Association Guide’ booklet.
Note: You can list specific locations or tell us a wider area which you would consider. We may contact you to discuss suitable locations when assessing your priority.
PLEASE TICK WHICH AREAS YOU WOULD LIKE YOUR PRIORITY TO COVER You must apply for ALL suitable properties in the areas chosen or your priority will be removed after six months (please see the BHA Guide Booklet for more information about your priority)
Coldstream Area Duns Area Eyemouth Area Eyemouth Area (contd) Birgham Allanton Ayton Grantshouse Coldstream Chirnside Cockburnspath Hutton Eccles Cranshaws Coldingham Lower Burnmouth Gordon Duns Eyemouth Deanhead Paxton Greenlaw Gavinton Eyemouth Gunsgreen Reston Hume Longformacus Eyemouth Old Town St. Abbs Leitholm Preston Foulden Upper Burnmouth Swinton Westruther Whitsome
Sheltered Housing Developments If you have indicated a sheltered Housing Requirement on your registration form, please tick to choose the Developments you wish your pass to apply to:
Coldstream, Gowanlea Court Duns, Boston Court Eyemouth, Linkim Court