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HUME Community Housing Association Company Ltd. Affordable Housing Eligibility Criteria 2015
1 Beds Minimum Gross
Income per annum Maximum Gross Income per annum
In order to be considered for housing with Hume ALL the criteria listed MUST BE met.
1. Be currently living in NSW
2. Be an Australian citizen or Permanent Resident Visa holder
3. Be in full time or part time work
4. Income Types: your gross annual household income must fall within the following:
Single 38,000 47,904
Couple 38,000 66,228
2 Beds Minimum Gross Income per annum
Maximum Gross Income per annum
3 Adults 48,000 84,552
Single + Child 48,000 66,274
Single + 2 Children
48,000 82,163
Couple + Child 48,000 82,117
Couple + 2 Children
48,000 98,006
GENERAL INFORMATION: This sheet summarizes the eligibility criteria used in assessing applicants for
affordable housing with Hume. Eligibility does not guarantee that an offer of housing will be made.
Those eligible will be prioritized according to the Company’s eligibility selection and allocation policy. The
criteria aims to establish fair and non‐discriminatory access to housing. Hume offers properties for rent up
to a maximum of 80% of market rent. NOTE: Housing is generally considered affordable if the rent payable
is no more than 30% of gross household income.
Page 1
Application for Affordable H o u s i n g
PLEASE ENSURE THAT THE FOLLOWING INFORMATION IS ATTACHED WHEN YOU LODGE YOUR APPLICATION.
WE ARE UNABLE TO PROCESS YOUR APPLICATION WITHOUT ALL OF THE FOLLOWING INFORMATION
CHECKLIST:
Proof of Income All applicants over the age of 18 are required to provide proof of all income sources: • Applicant or family members who are in receipt of a Centrelink income, please provide income statements for the last 52 weeks OR sign the attached Multiple Consent Authority Form authorising us to check your Centrelink Income Statement • Applicant or family members who are salary/wage earners, please provide payslips for last 52 weeks that shows your gross income over this period OR please fill out the attached wage form. • Applicant or family members who are self-employed, please provide one of the following
1. Letter from your accountant that endorses your gross income and expenses for the previous 52 weeks. OR
2. Your profit and loss statement that has been endorsed by your accountant for the previous 52 weeks. And the lodged Tax return and Notice of assessment. OR
3. Your profit and loss statement that has been lodged with Centrelink for the previous 52 weeks. And the lodged Tax return and Notice of assessment.
Current Rent Ledger and a Reference Letter Please provide a detailed recent rent ledger OR detailed receipt with landlord’s full name, address and phone number and Rent Reference letter. If you cannot provide this, please provide a personal reference letter.
Proof of Permanent Residency
For example: Passport/citizenship certificate
Proof of Current Assets and/or Debts
Please provide proof of any assets and/or debts, for example: bank statements, loan repayment statements for last 6 weeks
OFFICE USE ONLY
Date received:
Applicant No:
Proof of Identity
Please provide prime proof of identity for all household members, for example: drivers licence, birth certificates or passports (at least 2 forms required per member)
Please make sure you sign and date your application and return to:
Level 1, 119 the Crescent Fairfield NSW 2165 OR
Level 4, 79 George Street, Parramatta NSW 2150,
Fax: (02) 9728 6439
Email: [email protected]
You may also lodge your application in person at Level 1, 119 the Crescent
Fairfield NSW 2165 OR Level 4, 79 George Street, Parramatta NSW 2150
If you need help filling out your application,
please contact us on (02) 97224382 OR (02)
9685 6800
Application for Affordable Housing
----------------------------
Please ensure that every question is answered clearly and attach as much additional supporting documentation as possible outlining your situation to help us to assess your application fairly.
Please write answers in CAPITAL LETTERS and circle or tick answers where appropriate. All information received is confidential.
1. DETAILS ABOUT YOU
Title
Mr Mrs Miss Ms Other
Surname
First name(s)
Current address Should your address change at any time,
please inform us immediately in writing.
Address
Phone number
Relationship to you
No. Street
Suburb State Postcode
Contact phone
Mobile
Home
Work
Date of birth
DD MM YYYY
Gender
Male Female
Emergency contact
(Someone who does not live with you)
Mr Mrs Miss Ms
Surname Given Names
Are you (Select one) A citizen of Australia Permanent Resident of Australia
Other
Language spoken at home
Do you need an interpreter? Yes No. If YES, what language interpreter do you need?
Do you have a live Pathways Application?
Yes No. If YES, what is your TFile Number? -----------------------------------------
Page 2
Page 3
Application for Affordable Housing
2. OTHER PEOPLE WHO WILL LIVE WITH YOU
Surname First name Relationship to you Date of birth Gender Current school/ employer
1 DD MM YYYY M/F
2 DD MM YYYY M/F
3 DD MM YYYY M/F
4 DD MM YYYY M/F
5 DD MM YYYY M/F
6 DD MM YYYY M/F
7 DD MM YYYY M/F
Does anyone on your application
receive Centrelink Income? Yes No
(If yes, please provide either Centrelink income statements for the last one year (52 weeks) OR sign the attached
Multiple Authority Consent form for each person earning Centrelink income.)
Do you have any pets? If yes, please detail below:
3. WHAT LOCAL GOVERNMENT A R E A ARE YOU APPLYING FOR?
Bankstown
Ashfield
Liverpool
Other
Telopea
Guildford
Northmead
Parramatta
Page 4
Application for Affordable Housing
4. CONNECTION TO THE AREA
What is your connection with the area in which you are applying for housing?
Employment Family Education Long term resident Other None
Please provide details and proof of any connection noted above:
5. FAMILY INCOME
Are you currently:
Self employed Full time employed Casually Employed Unemployed
Part time employed Full time student Part time student
Attach copies of all income documents as mentioned on the checklist for all household members.
Name Relationship Wages per fortnight Pension / Benefit/ Other Centrelink Income
Self $
$
$
$
$
$
$
$
If employed, please provide the following details:
Employer name and full address
Employer phone
number
Date employed
commenced
Position Date employment ceased (if applicable)
Page 5
Application for Affordable Housing
6. STUDENT DETAILS
Institution Course name Course length Years of study Hours per week
7. YOUR CURRENT HOUSING CIRCUMSTANCES
What sort of accommodation do you have now?
(Please tick one only)
Renting a private house or flat
Temporarily staying with friends or family Other
Specify
Please state the total fortnightly rental for this housing
Please state how much of the total rent you pay
(excluding contribution to utilities)
Please provide contact details for your landlord
8. ASSETS – PLEASE ATTACH COPIES Pl
ease include in this section the total assets of the household
Does any person included on this application have any of the following:
Cash/savings Yes No
Car Yes No
Property/share in property Yes No
Business/share in business Yes No
Other assets Yes No
Value
$
$
$
$
$
9. DEBTS – PLEASE ATTACH COPIES Please include in this section the total debts of the household
Who I owe Amount owing in total Repayment amount per fortnight
Page 6
Application for Affordable Housing
How did you hear about Hume?
Did you know any staff and/or director of Hume prior to this application? Yes No
If yes, please provide details (i.e. relative, friend)
Relationship Name Position
10. PREVIOUS TENANCIES
Have you participated in an Affordable Housing program in the past? Yes No
Please provide details if you have answered yes.
Where
When
11. APPLICATION DECLARATION
I declare to the best of knowledge that: • The information given in this application is true and correct
• I have no objection to Hume verifying information provided
• I will advise H u m e of any changes in circumstances that may affect my application as soon as possible
• I may be requested to provide further documents to Hume at any time
• At the end of the tenancy term in Affordable Housing, Hume is not obliged to house or provide alternative
accommodation to me or any other household members
• I understand that the accommodation made available through the Affordable Housing Program is not social housing
• I understand that the Affordable Housing Program is not long term and that my eligibility will be assessed on annual
basis
Signature: Signature:
Date: Date:
HUME Community Housing Association Company Ltd. Form –Wages and Salary Statement- Affordable Housing
Page 1 of 2
(To be completed by the employer)
Name and Address of Employee
LAST NAME FIRST NAME
HOME ADDRESS POST CODE
Details of Employer
EMPLOYER’S NAME ABN
EMPLOYER’S ADDRESS
PHONE
Document Name: Wages and Salary Statement- Affordable Housing
Version: 2015
T.V Consultation Required Effective Date: June 2015
Requires Board Approval Approved Date:
Approved by: Review Date: June 2016
HUME Community Housing Association Company Ltd. Form –Wages and Salary Statement- Affordable Housing
Page 2 of 2
Employment Details
EMPLOYMENT COMMENCED ON
DD MM YYYY
PERIOD OF EMPLOYMENT DURING PAST 52 WEEKS/ 12 MONTHS (Please use the most recent 12 months. Please
note that the 12 month period end date shall be no older than 10 days from when we receive your letter.)
First day of Pay Period Last day of pay period
DD MM YYYY DD MM YYYY
Gross (before tax) salary/wage for the above period Current gross (before tax) weekly wage
including overtime, bonuses, allowances etc.
$ $
I declare that the above details are correct.
Employer’s Signature Company Stamp or Seal:
Full Name: Date:
DD MM YYYY
Please return this by email, mail or n person to:
Hume Community Housing Level 1, 119 The Crescent, Fairfield, NSW 2165
Document Name: Wages and Salary Statement- Affordable Housing
Version: 2015
T.V Consultation Required Effective Date: June 2015
Requires Board Approval Approved Date:
HUME Community Housing Association Company Ltd. Form –Wages and Salary Statement- Affordable Housing
Page 3 of 2
Approved by: Review Date: June 2016
Centrelink Deduction and Confirmation Services
Page 1 of 4
As a customer of Hume Community Housing Association (Hume) we need to know and confirm some of your details held by the Australian Government Department of Human Services (the department).
Centrelink Confirmation eServices is an electronic system that lets you to choose to have your Centrelink details provided or confirmed between Hume and the department.
We have been assessed and approved by the department to provide these services.
We must comply with strict guidelines around who accesses the information and how the information is collected and stored.
Who is eligible to use these services? Customers who are receiving Rent Assistance or paying rent using Centrepay can authorise the exchange of information.
What services are available?
1. Electronic Verification of Rent (EVoR) EVoR is a secure, automated process which lets us send your rent details to the department electronically.
You will not have to complete a Rent Certificate or tell the department every time your rent changes.
How does it work? When there is a change in rent, the new rent amount will be updated electronically with the department.
What details will we send to the department?
• the address of the property you are renting
• the date you moved in
• the amount of rent you pay, and
• the date you started paying the rental amount.
How will the information be used? The information will be used by the department to assess your eligibility for Commonwealth Rent Assistance.
2. Income Confirmation Income Confirmation (IC) is a service where you can authorise the department to provide your details directly to us.
How does it work? If you wish to use IC, the department will send your income details electronically to us so we can assess your eligibility for services quickly and conveniently.
What if some household members choose not to participate in IC, or don’t receive Centrelink payments? Household members who don’t or can’t participate in IC will be required to provide proof of their income. If they receive a Centrelink payment they will have to contact the department and request an income statement to be sent to us. If they do not receive Centrelink payments, they will need to provide other details of their income, for example, wage slips.
It remains the applicant or tenant’s responsibility to make sure income details of all household members are available when required.
Centrelink Deduction and Confirmation Services
Page 2 of 4
What details will the department send to us through IC? Only information that we need will be provided by the department ie.
• the type of pension or payment, the amount and date paid
• amounts being deducted from your Centrelink payments (for example Child Support , Easypay or Centrepay), and
• details of other income you have told the department about.
Details of other income you receive can be provided to us separately.
How will the information be used? The information will be used by us to assess your entitlement to reduced rent and ongoing eligibility for housing assistance
3. Centrepay Centrepay is a free direct bill-paying service. You can choose to have your rent amount deducted from your Centrelink payments and paid directly to us.
The balance of your Centrelink payments are made into your nominated bank account
How does it work? You, as the customer, will need to complete a Centrepay Deduction Form and send it to the department.
If your rent amount changes, we will contact the department and tell them of the new rent amount payable.
What details are exchanged? We will tell the department:
• to change your existing Centrepay deduction, target amount or suspend the nominated deduction from time to time to ensure your housing payments are met, and
• of your correct account or billing number if required.
They will provide us information to reconcile your payment deduction details.
How will the information be used? The information will be used to ensure the correct amount of rent is being deducted. If you nominate to pay extra, the amount will be deducted for the period nominated by you.
Why use these services?
• They are free.
• You will save time by not having to phone or pick up an income statement or Rent Certificate.
• It is easy and convenient because we will contact the department on your behalf.
What do I do if I want to stop one or all of the services? You can cancel one or all at any time by contacting us or the department.
If you stop using any of the services you will be required to provide proof of the requested information as required by either us or the department.
If you would like more information visit humanservices.gov.au/business or book a time to meet with a Hume team member who can assist you further on 9722 4300
Page 3 of 4
Authorisation Form Multiple Consent and Authority
Family Name Given Names Customer Code
Date of Birth Customer Reference Number
Address
You must clearly indicate each service you wish for this customer consent to be applied.
Please mark the appropriate box with a cross. X
1. Electronic Verification of Rent (EVoR)
I authorise:
• Hume Community Housing Association to collect and use my current and future accommodation information and to provide it to the department for reassessment of my eligibility for Commonwealth Rent Assistance.
I understand that:
• the information collected and used by Hume Community Housing Association and provided to the department may include my Customer Reference Number, family name, given name, date of birth, address, household rent, individual rent, and relationship status.
• every time Hume Community Housing Association provides information to the department, I will be advised in writing.
Yes
No
2. Income Confirmation
I authorise: • Hume Community Housing Association to use Centrelink Confirmation eServices
to perform a Centrelink/DVA enquiry of my Centrelink income, asset and payment details to enable the organisation to determine if I qualify for housing assistance / rent subsidy.
• the department to provide the results of that enquiry to Hume Community Housing Association.
I understand that:
• the department will use information I have provided to the Hume Community Housing Association to confirm my eligibility for housing assistance / rent subsidy and will disclose to the Hume Community Housing Association personal information including my name, address, concession card status, payment type, payment status, income, assets, one-off payment, deduction and shared care arrangements.
• I can obtain proof of my circumstances/details from the department and provide it to Hume Community Housing Association so that my eligibility for housing assistance / rent subsidy can be determined.
• if I withdraw my consent or do not alternatively provide proof of my circumstances/details, I may not be eligible for housing assistance / rent subsidy provided by Hume Community Housing Association.
Yes
No
3. Centrepay I authorise Hume Community Housing Association to advise the department:
• to change my existing Centrepay deduction, target amount or suspend the nominated deduction from time to time to ensure my housing payments are met, and
• of my correct account or billing number if required. I authorise the department to:
• provide information for the purpose of reconciling my payment deduction details.
Yes
No
Page 4 of 4
Authorisation Form Multiple Consent and Authority
/ /
In understand that:
• this consent, once signed, is effective for the service/s indicated, and only for the period that I am a customer of Hume Community Housing Association.
• this consent which is ongoing, may be withdrawn by me, at any time, by giving notice in writing to Hume Community Housing Association.
• I can withdraw my consent for all indicated service/s by contacting Hume Community Housing Association.
• every time that Hume Community Housing Association provides information to the department for EVoR and/or Centrepay, I will be advised.
• Hume Community Housing Association will maintain a record of my consent for 5 years.
• if I withdraw part or all of this consent in relation to Electronic Verification of Rent that I will be responsible for notifying the department of all future changes to my accommodation circumstances.
• I will be able to obtain a written copy of the income statements the department provides to my housing organisation at any time from either the department or Hume Community Housing Association.
For more information visit humanservices.gov.au
Signature: Date:
HUME Community Housing Association Company Ltd. FORM: AFFORDABLE TENANCY REFERENCE
PERSONAL REFERENCE
How long have you known the applicant? Years months
In what capacity do you know the applicant? Friend ( ) Relative ( )
Colleague ( ) Other ( ) please specify:_
Please provide comments regarding the applicants character:
Signed by referee: Date:
Signed on behalf of referee: Date:
Date reference provided:
Reference collated by: phone ( ) Email ( ) Letter ( ) other ( ) specify
Officer collating information:
Document Name: F – Affordable tenancy reference Version: 001 001
T.V Consultation Required No Effective Date: 20/10/14
Requires Board Approval No Approved Date:
Approved by: COO Review Date: 20/10/16
3
