Garage application form

If you wish you can download this application form and complete it offline.

	Title
	Date of birth *
	First name
	Last name
	Address
	Contact telephone number
	Are you:	A Lewisham Homes tenant? A member of the household of a Lewisham Homes tenant? A Lewisham Homes leaseholder? Renting from a Lewisham Homes leaseholder? Living in property not owned by Lewisham Homes? Employed by Lewisham Homes?
	Do you have a friend or relative who works for Lewisham Homes?	Yes No
	If yes, state their name
	Do you hold a disabled person's Blue Badge?	Yes No
	Does any member of your household hold a disabled person's Blue Badge?	Yes No
	If yes, state their name
	If yes, state the serial number of their Blue Badge.
	What is their relationship to you:
	Do you or anyone else in your household already rent a garage from Lewisham Homes?	Yes No
	If yes, state address or addresses
	Have you previously rented a garage from Lewisham Homes?	Yes No
	If yes, state address or addresses
	Type of Vehicle you will keep in the garage
	Registration Number
	Make, model and colour
	Where would you like to rent a garage? (please name the estate and area)
	All applicants must read and tick below.
	1) I confirm that the above information is correct to the best of my knowledge, and that it is a criminal offence to attempt to obtain a garage from Lewisham Homes by knowingly or recklessly making false statements, or by withholding information requested by Lewisham Homes.
	2) I understand that if there is a change in my circumstances, I must tell Lewisham Homes as soon as possible, and that if I fail to notify Lewisham Homes it may affect my licence agreement.
	3) I understand that by providing false information or withholding any information on changes in circumstances, it could result in the refusal of my application, withdrawal of any offers, and the eviction from any garage offered.
	4) I understand that Lewisham Homes is entitled to make enquiries about my background. I authorise any former landlord, local authority, statutory or police authority to disclose any relevant information. This may include information about previous tenancies or criminal convictions.
	5) I understand that Lewisham Homes will retain relevant information given by me - relating to my garage application on Lewisham Homes' current housing list. By signing this form, I am consenting to the use of the information under the terms of the Data Information Act 1998.
	I agree with the above statement
	Please enter verification code as shown *

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Garage application form