Mutual Exchange Application

This form is for the use of tenants of SHAL Housing. People who wish to exchange houses with tenants of SHAL Housing may also use it.

Please do not move or make any arrangements to move until you have submitted the following application form and received WRITTEN APPROVAL from SHAL Housing Limited (and other Landlord if applicable) for the exchange to go ahead. You may lose your Assured Tenancy if you do.

Use of this form is in accordance with the SHAL Privacy Policy. Please read the policy before completing this form.

1.

Your Name
Your Address
Home Telephone Number:
Work Telephone Number:
E-mail address

2. Please provide details of all people living in your existing home including yourself:-

Surname	First Names	Relationship to Tenant	Date of Birth
		Tenant

3. Is anyone listed an expectant mother? If so, please give date of confinement.

4.Is everyone moving? (YES /NO ) - if NO, please give details.

5.Please list any additions, alterations and improvements carried out since the tenancy commenced.

6.What are your reasons for wanting to exchange?

7. Please give any other information which may be of importance.

8.SHAL HOUSING Equal Opportunities Policy

SHAL has a policy that no-one will receive less favourable treatment than another, with regard to access to housing, quality of housing or service delivery on the grounds of age, gender, marital status, racial origin, disability, sexual orientation or political or religious beliefs.

9. Do you consider any members of your household to have a disability?

YES /NO

If yes, please give details

10. Monitoring Information

This section of the application does not affect your eligibility or priority in any way. It would help SHAL to monitor the equal opportunity policy if you would complete it.

Would you describe your ethnic group as:- Please tick

11.Details of persons you wish to exchange with.

Name
Address
Name of their Landlord
Address of their Landlord

12. Declaration/Data Protection

We/I declare that the information provided on this form is correct. We/I consent to this information being held in paper form and recorded on a computer system in connection with our mutual exchange application and with any tenancy we may hold in the future. We/I understand that, and agree that, this information may be used for statistical purposes and that contractors working with SHAL Housing Limited may have access to the data in connection with their work for SHAL. This data may be held for a period of six years from the date of this application, or six years from the termination of any tenancy, whichever is the later.

We/I have read and understood the notes (please tick)

Date

IMPORTANT INFORMATION

Your right to exchange your Tenancy by assignment with that of another tenant (of a Housing Association or a Local Authority or New Town) is subject to the prior written consent of SHAL, which may be subject to conditions and which shall only be withheld on the following grounds:-

1. Where a Court Order has been made giving possession of the Tenant's dwelling to the landlord;
2. Where a notice of seeking possession has been served on either the Tenant or the person to whom the Tenant proposes assigning his tenancy;
3. Where the Tenant's dwelling is substantially larger than is reasonably needed by the person to whom the Tenant proposes assigning his tenancy;
4. Where the Tenant's dwelling would be too small for the needs of the person to whom the Tenant proposes assigning his tenancy;
5. Where the dwelling is designed or adapted to suit the needs of a physically handicapped person and the exchange would result in it being occupied by someone else without those needs;
6. Where the dwelling is in a group of dwellings let to people with special needs near some special facility (for example an old people's club) and the exchange would result in the dwelling being occupied by someone without those needs.

Arab	Asian	Bangladeshi	Black African
Black Caribbean	Black Other	Chinese	Indian
Pakistani	White UK	White European	Other