Central Australian Affordable Housing Company · Web viewI understand that I can withdraw my consent at any time by notifying Central Australian Affordable Housing in writing at PO

Central Affordable Housing Company

Affordable Housing

for Aboriginal People in Alice Springs

CAAH owns and manages housing in Alice Springs

for people who are working and on low incomes

& also

for Seniors and Aboriginal people over 50 years old

If you are interested in our housing

please complete the attached form

For help with this form please ring;

08 8952 1266

or email

[email protected]

[email protected]

OR come in and see us at

24 Kidman St Alice Springs

8.30 - 4.00 Monday to Friday

What housing are you interested in? Please tick next to your choice

mailto:[email protected]

mailto:[email protected]

Elliot St for over 50's

Two Bedroom Unit

Dixon Rd for over 50's

One Bedroom Unit

Two Bedroom Unit

St Mary's for Working People

One Bedroom Unit

Two Bedroom Unit

Three Bedroom Unit

Large Family Home

Bloomfield St for Working People (NRAS income eligibility applies)

One Bedroom Unit

Two Bedroom Unit

Central Australian Affordable Housing has a waiting list; so it might be some

time before you can be housed.

We don’t do a ‘wait in turn’ waiting list. We select tenants to suit the available

house. Please stay in touch if you are on the waiting list and let us know when

you move house or your phone number changes. Always contact us if your

situation changes.

Part A WHO WILL LIVE IN YOUR HOUSE?

ABOUT YOU:

NAME DATE OF BIRTH PHONE NUMBER

MALE Y / NFEMALE Y / N

CURRENT ADDRESS EMAIL

Are you? ABORIGINAL

TORRES STRAIT ISLANDER

Yes/No Yes/NoLANGUAGE GROUP

ARE YOU HOMELESS Y / N

ABOUT YOUR PARTNER:

NAME DATE OF BIRTH PHONE NUMBER

MALE Y / NFEMALE Y N

CURRENT ADDRESS EMAIL

Are you? ABORIGINAL



We need photo identification for every adult applying for housing at CAAH. Please photocopy or bring to our office

Part A WHO WILL LIVE IN YOUR HOUSE? ARE YOU HOMELESS Y / N

OTHERSincluding children who will live with

you

NAME DATE OF BIRTH PHONE NUMBER EMAIL


CURRENT ADDRESS

Are you? ABORIGINAL


Yes/No Yes/NoLANGUAGE GROUP ARE YOU HOMELESS Y / N


you



CURRENT ADDRESS

Are you? ABORIGINAL




Part A WHO WILL LIVE IN YOUR HOUSE? ARE YOU HOMELESS Y / N

OTHERSincluding children

who will live with you



CURRENT ADDRESS

Are you? ABORIGINAL


Yes/No Yes/NoLANGUAGE GROUP ARE YOU HOMELESS Y / N


you



CURRENT ADDRESS

Are you? ABORIGINAL



ARE YOU HOMELESS Y / N


Part B WE NEED THE INCOME DETAILS FOR EVERY ADULT IN YOUR HOUSEHOLD

NAME

Do you receive any Centrelink? Yes / No

What is your main Centrelink payment?

How much does Centrelink pay you each week?

$

Do you work? Yes / No

How much do you earn before tax each week? $Who do you work for?

What is their address?

What is their phone number?

Do you receive any other income? e.g. investments, child support, bank interest

etc

Yes / No

What sort of other income do you receive?

How much other income do you receive each week

$

What is the value of the things you own? e.g. car, furniture, personal possessions

$

NAME



How much does Centrelink pay you each $

PLEASE ATTACH PROOF OF INCOME FROM CENTRELINK and/or CURRENT WAGE SLIPS FOR EACH ADULT IN YOUR HOUSEHOLD


week?Do you work? Yes / No





etc

Yes / No



$


$

NAME




$








etc

Yes / No



$


$

NAME




$






etc

Yes / No





$


$


CENTRAL AUSTRALIAN AFFORDABLE HOUSING

MORE ABOUT YOU AND YOUR HOUSEHOLDDo you or anyone in your household have a support worker or an advocate?

What is their name?

Who do they work for?

Do you have any special needs for your home?

yes no please explain here walk in shower hand rails ramps no stairs other modifications

Do you or anyone in your household have a disability we need to know about?

yes noIntellectual Physical Mental health Vision impaired Hearing impaired Other disability

What vehicles will be registered at your address? Vehicle Type and Registration

Please provide the following contacts:


Personal Reference (A person not related to you)Name: Contact Number:

Professional Reference; e.g. support worker, employer, advocateName Contact Number:

Emergency Contact ( Someone not living with you)Name: Contact Number:

Address:

Please read and sign the acknowledgement below

ACKNOWLEDGEMENT:

I/ WE CONFIRM AND ACKNOWLEDGE THAT:

The information contained in this Application is true & correct

I/WE have the legal capacity to enter into a lawful contract

I/WE have supplied the required identification AND signed the Privacy Act Acknowledgement

I/WE accept the offer, a tenancy agreement with all of the terms including the rent and all other conditions contained in this application come into existence and is then legally binding upon me/us in accordance with the tenancy conditions specified.

I/WE accept that upon the application being approved for a property, the security bond (4 weeks rent) and 2 weeks rent will be paid prior or on the day of the tenancy start.

Signatures:

APPLICANT 1- _________________________________ DATE: _______ / _______ /

APPLICANT 2- _________________________________ DATE: _______ / _______ /

PRIVACY ACT ACKNOWLEGEMENT FORMS FOR TENANT APPLICANTS AND OCCUPANTS

This form provides information about how Central Australian Affordable Housing (ABN: 82 136 070 829) (“We” “Our” “Us”) will collect and handle your personal information, as required by the National


Privacy Principles in the Privacy Act 1988, and seeks your consent to disclosures to certain third parties (which are set out below) in specified circumstances. If you do not consent to the disclosure of your personal information to those third parties we cannot process your application for a tenancy.

We will collect and handle personal information about you in order to process your application for a tenancy

Primary Process

Before a tenancy is accepted we collect your information to assess the risk in providing you with a property to rent and if considered acceptable provide you with a tenancy for the property. In order to assess your application we disclose your personal information to

TICA Default Tenancy Control Pty Ltd to assess the risk to our clients and verify the details provided in your tenancy application

Referees to validate information supplied in your application

Secondary Purpose

During and after the tenancy we may need to disclose your personal information to

Tradespeople to contact you for repairs and maintenance of the property Refer to Tribunals or Courts having jurisdiction seeking orders or remedies Refer to Debt Collection Agencies where Tribunal / Court orders have been awarded Refer to TICA Default Tenancy Control Pty Ltd to record details of your tenancy

history To provide future rental references to other asset managers / owners

If you fail to provide your personal information and do not consent to the uses set out above we cannot properly assess the risk or carry out our duties as an asset manager. Consequently, we cannot provide you with a property to rent. The information we collect can be accessed by you (except where the laws allows us to deny access to that information) by contacting our privacy officer as follows:

PH: 08 8952 1266 POST: PO Box 4905, Alice Springs NT 0871

EMAIL: [email protected]

Name

Signature

Date

I authorize CAAHC to access information regarding my previous rental history in accordance with the Privacy Act and all the National Privacy Principals contained within the Act. I have had the opportunity to read and acknowledge the Privacy Statement regarding this form.

PRINT NAME: ______________________________________________________________

Applicant 1: Applicant 2:

SIGNATURE: SIGNATURE:


OFFICE USE ONLY Requesting Property Manager: Carol Hedges Phone: 08 8952 1266

Applicant Name(s): _________________________________________

Rental Property Address: _____________________________________

We are seeking written confirmation as to the performance of this tenancy with your agency. Could you please answer the questions below by ticking the boxes or adding comments, sign where indicated and fax back to the above indicated fax number.

Q1- Can you confirm that the above were or are current tenants at the above property? YES/NO

Q2- What was/is the rent amount per week? $ Per Week

Q3- Approximate tenancy dates Start Date ___ / ___ / ___ End Date ___ / ___ / __

Q4- Was the rent paid on time- all the time?YES/NO

If no, please detail how frequently tenant would be in arrears:

Q5- Did you attend tribunal/court for any matters relating to the tenancy YES/NO

If so, for what reason?

Q8- At routine/periodic inspections, was the property kept in a clean and undamaged condition? YES/NO

Details/Comments:

Q9- Did the tenant keep any pets? YES/NO Details:

Q10- If the tenant has vacated, was the property left in a clean and undamaged condition? YES/NO

Q11- Was the bond refunded back in full? YES/NO Details:

Q12- Considering the whole performance of the tenancy- would you rent again to that application should they apply in future with you?YES/NO

General Comments:

Agent Name __________________________________ Date:

CENTRAL AUSTRALIAN AFFORDABLE HOUSING COMPANY

INCOME CONFIRMATION ACTIVE CONSENT AUTHORITY

I hereby give authority to Central Australian Affordable Housing Company to obtain my income details electronically through Centrelink.

I understand the statement may contain:

The type and amount of pension or allowance paid to me by Centrelink The number of dependent children used to assess any family payments Details of any deductions from my payments, including Centrelink deductions Details of any other assets or income disclosed to Centrelink such as overseas pensions,

child maintenance, returns on investments, salary/wages Confirmation of my current address, and Historical details e.g. payments, deductions, assets or income.

I understand Central Australian Affordable Housing will only use the information provided by Centrelink for the purpose of determining eligibility to our housing, in accordance with the Information Privacy Principles at schedule two of the Information Act (NT).

I understand that I can withdraw my consent at any time by notifying Central Australian Affordable Housing in writing at PO Box 4905, Alice Springs NT 0871.

I understand that if I withdraw from the Income Confirmation Scheme, I will be required to provide proof of my Centrelink Income to Central Australian Affordable Housing when requested.

Name:

Address:

CRN:

Signature:

Date:

ABN: 82 136 070 829 PO Box 4905 Alice Springs NT 0871 24 Kidman Street Alice Springs 0870 Phone: 8952 1266

Documents

Central Australian Affordable Housing Company · Web viewI understand that I can withdraw my consent at any time by notifying Central Australian Affordable Housing in writing at PO