Tenancy audit

• Location
  Address

• Rent account No.

• Rent account balance

• Audit completed on visit number...

  1

  2

  3

• Staff member completing audit

  Select Adetoun Ajayi Sarah Thompson David Crofts Michael Bull Chris Rouke Tracey Barret Myra Dicken Edina Vaughan Tom Austin Lee Georgiou Michael Opreshko

  • Adetoun Ajayi
  • Sarah Thompson
  • David Crofts
  • Michael Bull
  • Chris Rouke
  • Tracey Barret
  • Myra Dicken
  • Edina
  • Vaughan
  • Tom Austin
  • Lee Georgiou
  • Michael Opreshko

• Signature of staff completing audit

  Sign

Tenancy details

• Tenancy start date

  Date

• Tenancy type

  Introductory

  Homeless Licence

  Secure

Tenants details

• Tenants title:

  Select Miss Mrs Ms Mr Dr Rev Sir Lady

  • Miss
  • Mrs
  • Ms
  • Mr
  • Dr
  • Rev
  • Sir
  • Lady

• Please enter tenants full name

• Tenants date of birth

  Date
• Tenants full address
  Address

• Contact details (telephone / mobile phone / email etc)

Contact details

• Tenants photo ID / Picture

  Media

• Is this a joint tenancy?

  Yes

  No

• Joint tenants title

  Select Miss Mrs Ms Mr Dr Rev Sir Lady

  • Miss
  • Mrs
  • Ms
  • Mr
  • Dr
  • Rev
  • Sir
  • Lady

• Please enter joint tenants full name

• Joint tenants date of birth

  Date

• Joint tenants contact details (telephone / mobile phone / email etc)

Contact details

Household

• Please add each childs details

Child details

• Name

• Gender

  Male

  Female

• Date of birth

  Date

• Relationship to tenant

  Select Son / daughter Grand child Niece / nephew Other Step son Step daughter Parent Aunt / uncle Grand parent

  • Son / daughter
  • Grand child
  • Niece / nephew
  • Other
  • Step son
  • Step daughter
  • Parent
  • Aunt / uncle
  • Grand parent

• Please enter relationship to tenant

• Please add each adults details

Adult details

• Name

• Gender

  Male

  Female

• Date of birth

  Date

• Relationship to tenant

  Select Son / daughter Grand child Niece / nephew Other Step son Step daughter Parent Aunt / uncle Grand parent

  • Son / daughter
  • Grand child
  • Niece / nephew
  • Other
  • Step son
  • Step daughter
  • Parent
  • Aunt / uncle
  • Grand parent

• Please enter relationship

• Identity / proof of residence

  Media

Pets

• Are there any pets in the household?

  Yes

  No

• Please enter each pets details

Pet

• Species:

• Has the pet been micro-chipped?

  Yes

  No

• Has pet been registered?

  Yes

  No

• Please complete a registration form

Property details

• Number of bedrooms

  1 Bed

  2 Bed

  3 Bed

  4 Bed

• Property type

  Select Flat Terraced house Bungalow End of terrace Semi-detached Maisonette Sheltered housing

  • Flat
  • Terraced house
  • Bungalow
  • End of terrace
  • Semi-detached
  • Maisonette
  • Sheltered housing

• Is the property over / under occupied?

  Under occupied

  Over occupied

• Could the tenant satisfy one of the exemptions from size criteria? <br>ie requires an overnight carer / has a child with disabilities requiring their own room / have a family member away serving in the armed forces

  None

  Over night carer

  Serving soldier

  Child with disability

• Is the tenant attempting to find / would like to find a larger property?

  Yes

  No

• Have you been able to inspect all rooms?

  Yes

  No

• Please provide details of refusal of access:

• Have there been any structural improvements to the property?

  Yes

  No

• Was approval granted?

  Yes

  No

• Please provide details

• Are there any signs of damage to the property?

  Yes

  No

• Please give details of damage:

• Please add image if appropriate

  Media

Hazards

• Are there any combustable materials stored at the property?

  Yes

  No

• Please provide details:

• Please add image if appropriate

  Media

• Is there a hard-wired alarm at the property?

  Yes

  No

Support requirements

• Do you consider anyone in the household to have a long term illness or disability?

  Yes

  No

• Are they in receipt of disability benefits?

  Yes

  No

• Does the tenant have access to the Internet at home?

  Yes

  No

• Is the tenant able to access the Internet at a library or friend or family members home?

  Yes

  No

• Are they able to use the Internet independently (I.e. They do not require support)

  Yes

  No

• Does the tenant have a bank or building society account?

  Yes

  No

• Is this account...

  a joint account

  a sole account

  they have both

• If the tenant has debt; are they reducing the balance each month?

  yes / has no debt

  no

• Does the tenant always have their own money available to then? Even the day before payday?

  Yes

  No

• Referrals to be made (please select all)

  Select Transfer / Mutual exchange Supporting people Aids and adaptations Meals on wheels Luncheon club Telecare AP1 CP1 CPN via SSD Age concern CAB Resident association Medway Youth Trust Other

  • Transfer / Mutual exchange
  • Supporting people
  • Aids and adaptations
  • Meals on wheels
  • Luncheon club
  • Telecare
  • AP1
  • CP1
  • CPN via SSD
  • Age concern
  • CAB
  • Resident association
  • Medway Youth Trust
  • Other

• Please state