OHG ASB - Appeal against Termination of Tenancy

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Tenancy details

• Name (First tenant)

• Name (Second tenant)

• Type in address or use GPS function to locate
  Address

• Contact number

Household details

Household members

• Surname

• Forename

• Date of birth

  Date

• Gender

  Male

  Female

• Relationship to Applicant

  Wife

  Husband

  Partner

  Child

Set out the reasons why you feel your tenancy agreement should not be terminated

• Reasons

• Tenant signature

  Sign

• Date of signing

  Date

OFFICE USE ONLY TO BE COMPLETED BY Senior Officer and passed to a Director immediately.

• Date of service of NRP

  Date

• Date appeal received

  Date

• Please tick the relevant documents to confirm it is attached

• Select the relevant document

  Select Tenancy Review 6 wks (starter) Tenancy Review 6 mths (starter) Tenancy Review 9 mths (starter) Tenancy Review 15 mths (starter) Tenancy Review 1 yr (Fixed) Tenancy Review 2 yr (Fixed) Tenancy Review 3 yr (Fixed) Tenancy Review 4 yr (Fixed) Tenancy Review 5 yr (Fixed) First Warning Letter (Starter) Second Warning Letter (Starter) Cert. of Service for NRP Prop. Assessment Form Other

  • Tenancy Review 6 wks (starter)
  • Tenancy Review 6 mths (starter)
  • Tenancy Review 9 mths (starter)
  • Tenancy Review 15 mths (starter)
  • Tenancy Review 1 yr (Fixed)
  • Tenancy Review 2 yr (Fixed)
  • Tenancy Review 3 yr (Fixed)
  • Tenancy Review 4 yr (Fixed)
  • Tenancy Review 5 yr (Fixed)
  • First Warning Letter (Starter)
  • Second Warning Letter (Starter)
  • Cert. of Service for NRP
  • Prop. Assessment Form
  • Other

• If the document is not attached, please give a reason?

section to be completed by the Director of Housing Operations

• Date appeal decided (within 10 days of receipt)

  Date

• Decision of appeal

  Appeal upheld

  Appeal refused

• Outline reasons for decision

• Type and sign

  Sign