Housing Landlord Services The Hub Wimborne Road Kinson BH11 9AW

Tel: 01202 451915 Pet Policy Application Form

Application to keep a pet or pets in council accommodation

Please answer all the following questions

Your Details

Name:

Address:

Telephone Number:

Email:

Details of your pet or pets you wish to keep i.e.Dog/Cat: ………………………………………….

Number you wish to keep: ……………………………………..

For dogs, please state the breed or type:

………………………………………………………………………………………………………………………

Independent Senior Living

If you are moving into Independent Senior Living accommodation permission may be given for existing pets on the condition that upon their death they are not replaced. This does not apply to Brushett House Extra Care Housing scheme where no pets are allowed.

Please provide details of how you propose to meet the welfare needs of the pet or pets for example by providing suitable accommodation and any specialist equipment that they may need.

………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ……………………………………………………

Any personal information you provide us with, will be held and used in accordance with the law and the Data Protection Act 2018. If you would like to find out more information about how we use your information, please see our Privacy Notice here: bcpcouncil.gov.uk/privacy

bcpcouncil.gov.uk ‘BCP Council’ is the operational name for Bournemouth, Christchurch and Poole Council.

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Please see the Animal Welfare Act 2006 at www.defra.gov.uk or ask your Housing Officer for more information.

Please note that the Council may

(i) under certain circumstances require suitable third party insurance cover to be obtained prior to granting permission e.g. if you live in an upstairs flat and are proposing to have an aquarium, suitable insurance cover will be required to cover any claim resulting from a serious leak. (ii) While the Council may grant permission to keep a pet the responsibility for the animal remains solely with the owner and the Council accepts no liability whatsoever for any animal kept in its properties

Declaration

I can confirm that I have read and fully understand the Pet Policy & Procedure for Housing Landlord Services and understand my responsibilities under my tenancy agreement.

I understand that I am fully liable for the care, welfare and behaviour of my pet(s) and will ensure that they do not cause any nuisance or disturbance to my neighbours or others.

I understand that the Council has the right to withdraw any permission to keep a pet at its discretion.

Print Full Name:

Signature:

Date:

Please return your completed form to your Housing Officer at the Kinson Hub.

We aim to respond to your application within 10 working days.