Getting to know you better - Raven Housing Trust

At Raven we want to understand more about you so we can tailor our services to your needs. So we can get to know you better, please complete this form in full. If you have any questions please contact our Customer Services team on 0300 123 3399.

Please note that when completing protected data for other occupants of the property who are aged over 16, you’ll need to have their permission to provide this data on their behalf.

Customer privacy

The information recorded on this form (called ‘personal data’ in the Data Protection Act may be put on Raven Housing Trust’s computer systems and/or may be kept as manual records and will be processed to help Raven Housing Trust manage and allocate tenancies, monitor performance, act in accordance with government and local council regulations as well as for the prevention and detection of fraud. Personal data will be retained only for as long as is necessary to fulfil the purpose above. Raven Housing Trust may share your personal data in the course of our legitimate business with organisations that work with us on behalf of such as maintenance contractors and the local authority etc. Any data we share will be in accordance with the provisions of the UK GDPR and Data Protection Act 2018. We do not sell your personal data to any third parties and will remove you from marketing lists if you request it. The act can be viewed on http://www.ico.gov.uk/ which us the website of the information commissioner. Raven Housing Trust Ltd is the ‘Data Controller’ for this data. You have the right to ask Raven Housing Trust for a copy of your data and for a description of how it is being used and to whom it is disclosed. Please contact customer services for details. Raven Housing Trust Limited is registered under the Data Protection Act 1998, registration number Z9726292.

Your details - main tenant

Your Name(Required)

Title First Last

Your address(Required)

First line of your address Town Postcode

Your Email Address(Required)

Mobile number

Landline number

What is your preferred method of contact? Please tick all that apply(Required)

Text message

Letter

Phone

Date of birth

National Insurance number

Gender

Religion / belief

Ethnic origin

Do you require any adapted communication?

Large print

Braille

None

Are you able to communicate in English?(Required)

Yes

What is your first language?

Emergency contact information

Point of contact in an emergency We hope the situation will not arise, but it may be helpful for us to contact a relative or next of kin in case of emergency. For example, if a dwelling is flooded when the occupants are on holiday etc. The form will be kept with your records and used only in case of emergency. If your next of kin lives with you, please give the name and address of someone who does not live with you but may be contacted in case of emergency.

Name

Address

Contact number

Email address

Relationship to you

Understanding your needs

By telling us about any impairments, physical health or mental health information you have, we're then able to provide the best service possible that meets your requirements. Please make use of the 'None recorded' and 'Prefer not to say options if none are applicable to you or you would prefer not to disclose this information to us.

Impairments(Required)

Mental health conditions and/or neurodiversity(Required)

Physical health conditions(Required)

Do you need to add details of a joint tenant, partner / adult occupant or child?(Required)

Yes

Who is this person?(Required)

Joint tenant

Partner or occupant over the age of 16

Child occupant under the age of 16?

Their name(Required)

Title First Last

Mobile number

Date of birth

Gender

Religion / belief

Ethnic origin

Are they able to communicate in English?(Required)

Yes

What is their first language?

Understanding the needs of others in your home

We want to create a supportive and accommodating environment for all our customers. This includes understanding any vulnerabilities or impairments for tenants (main and joint), children (occupants aged 16 or under) and any other occupants living in your home. To help us understand you, your family and any other occupants better, so we can adapt our services to your needs, please let us know if any of the people in your household have vulnerabilities or impairments.

Impairments(Required)

Mental health conditions and/or neurodiversity(Required)

Physical health conditions(Required)

Do you need to add details of a partner / adult occupant or child?(Required)

Yes

Who is this person?(Required)

Partner or occupant over the age of 16

Child occupant under the age of 16?

Their name(Required)

Title First Last

Relationship to main tenant(Required)

Date of birth

Gender

Religion / belief

Are they able to communicate in English?(Required)

Yes

What is their first language?

Impairments(Required)

Mental health conditions and/or neurodiversity(Required)

Physical health conditions(Required)

Do you need to add details of a partner / adult occupant or child?(Required)

Yes

Who is this person?(Required)

Partner or occupant over the age of 16

Child occupant under the age of 16?

Their name

Title First Last

Relationship to main tenant

Date of birth

Gender

Religion / belief

Are they able to communicate in English?(Required)

Yes

What is their first language?

Impairments(Required)

Mental health conditions and/or neurodiversity(Required)

Physical health conditions(Required)

Do you need to add details of a partner / adult occupant or child?(Required)

Yes

Who is this person?(Required)

Partner or occupant over the age of 16

Child occupant under the age of 16?

Their name

Title First Last

Relationship to main tenant

Date of birth

Gender

Religion / belief

Are they able to communicate in English?(Required)

Yes

What is their first language?

Impairments(Required)

Mental health conditions and/or neurodiversity(Required)

Physical health conditions(Required)

Do you need to add details of a partner / adult occupant or child?(Required)

Yes

Who is this person?(Required)

Partner or occupant over the age of 16

Child occupant under the age of 16?

Their name

Title First Last

Relationship to main tenant

Date of birth

Gender

Religion / belief

Are they able to communicate in English?(Required)

Yes

What is their first language?

Impairments(Required)

Mental health conditions and/or neurodiversity(Required)

Physical health conditions(Required)

Thank you for completing these details.

If you need to complete information about further occupants or children, please contact our Customer Services Team on 0300 123 3399. Please click submit to complete this form

Cookies on this website

Customer privacy

Your details - main tenant

Emergency contact information

Understanding your needs

Understanding the needs of others in your home

Thank you for completing these details.