Download Napier City Council Housing Application Form: Eligibility Criteria and Requirements and more Schemes and Mind Maps Communication in PDF only on Docsity!
Application for
NAPIER CITY COUNCIL HOUSING
- Please complete all questions on the application form.
- If you require support to complete the application form, please see the reference page for organisations.
- Attach documents listed on reference page of the application form
- Submit your completed application and supporting documents to us by
Email Post By Hand housing@napier.govt.nz Housing Customer Service Napier City Council Dunvegan House Private Bag 6010 215 Hastings Street Napier 4142 Napier
Please note: Only applications that have been completed in full, with all the correct supporting documents , will be received. Any part applications will be returned to you to be completed.
- Your application will be assessed for eligibility by the Housing team. If you are eligible, you will be invited to an interview where your housing needs will be assessed. You are welcome to bring a support person or interpreter.
Every 3 months it is your responsibility to advise the Napier City Council Housing team of any changes to your application. If requested documentation is not supplied within one month, or we are unable to contact you, your application will be cancelled. Interviews are held on Thursdays between 9:00am-12:00pm.
To be eligible for a home, applicants must meet all of the criteria below:
Housing need: Your housing need must be current and not a possible future need.
Residency: Be a New Zealand citizen, or permanent resident, and have resided in Napier city for at least three years, unless there are extenuating circumstances.
Age & Financial:
- Be qualifying age for New Zealand Superannuation at the time of application; or
- Be aged 18 years and over, and a Supported Living beneficiary; and
- Have income and assets under the Category A thresholds OR
- Be aged 18 years and over; and,
- Have income and assets under the Category B thresholds Applicants must not own a whole or part share in any real estate property
Live Independently: Able to live independently within an intensive housing environment. This means that you are able to look after yourself or engage and/or manage any support services that you might require, and contribute constructively to harmonious community life within a residential village.
Convictions Do you have any previous, current or pending criminal convictions? Yes No If you answered yes, please provide details - date and conviction details:
Do you agree to a police check if required? Signature
Criminalconvictions that are covered bythe Criminal Records (CleanSlate) Act 2004 are not requiredto be disclosed
Criminalconvictions that are covered bythe Criminal Records (CleanSlate) Act 2004 are not requiredto be disclosed
Please give details of any other permanent health details we should be aware of: Do you smoke? No Yes - see Smokefree policy (attached) Doctor’s Name: Contact Phone:
Applicant 2 First or given name(s): Last or family name: Please specify any other names used or known by: Date of Birth: Email address: Mobile number: Preferred method of contact: Mobile Email Are you a NZ Citizen or a Permanent Resident How many years have you lived in Napier? If you do not currently live in Napier, what is the reason for your application?
Have you lived in a Napier City Council flat before? Yes No If yes, please provide details and year:
Convictions Do you have any previous, current or pending criminal convictions? Yes No If you answered yes, please provide details - date and conviction details:
Do you agree to a police check if required? Signature
Health Details Are you sufficiently active to care for yourself? If no, who would take care of you? Name: Contact Phone: Email: Relationship to you:
Are you mobile? YesWalking Aid^ Wheelchair^ Restricted Mobility Do you have sensory restrictions? Hearing Impaired Visually Impaired Do you have communication restrictions? Impaired Non-verbal English 2nd^ Language Please give details of any other permanent health deatils we should be aware of: Do you smoke? No Yes - see Smokefree policy (attached) Doctors Name: Contact Phone:
Note: Not all flats come with an allocatedcar park
If there are more than 2 applicants over the age of 18, please list here and attach details to back of form
Vehicles Car Motorbike Mobility Scooter Vehicle registration number:
Other Details Total number of people to be housesd Adults (18+): Children: Name: DOB: Name: DOB: Name: DOB:
Income
Applicant 1 Per week after tax
Applicant 2 Per week after tax Wages (including self-employment) Wages for a ____ hour week $ $ Benefit Work & Income weekly payment (excluding disability allowance and accommodation supplement) Super Benefit Work and Income client number
Benefit Type
Other allowances (i.e. disability allowence or accommodation supplement)
Any other income - give details $ $ $ $ $ $ Total Weekly Income $ $
See referencepage for income and assetthresholds and requiredsupporting documentation Wages includesemployment (self-employmentand secondary employment), andbonuses; excludes family benefit andovertime.
You may find ituseful to attach a work and incomepayment summary itemising yourpayments
Applicant 1 Employer: Phone: Applicant 2 Employer: Phone: Applicant 3 Employer: Phone:
Assets Applicant 1 Applicant 2 Total
Cash in hand $ $ $ Cash in the bank savings account $^ $^ $ Bonus Bonds, securities, Government stock, Kiwisaver $^ $^ $ Shares in public listed & private companies (incl. family businesses)
Loans to other people $ $ $ Investments in property (eg holiday homes, rental property) Specify any assets that you have sold, transferred or otherwise disposed of, to a trust in the last 15 years
Any other investments $ $ $
Are you the beneficiary (whether discretionary or fixed) of any trust? Yes No If ‘yes’, specify details of the trust assets and amount received
Vehicles that are not used as your usual means of transport i.e. Motorbike, boat, caravan or other vehicle(s)
Prepaid funeral expenses $ $ $ Other (please specify) $ $ $ $ $ $ $ $ $
References please provide details for a previous landlord and a character reference who is not a relative. Character reference and relationship to you Name: Email: Phone: Emergency Contact Details The people listed below will be the point of contact for Council should there be any concerns about your wellbeing. Please provide two. Contact One Name: Address: Mobile: Email: Relationship to you: Contact Two Name: Address: Mobile: Email: Relationship to you: Declaration I authorise Napier City Council to obtain (and any agency to disclose) information about me for the purpose of assessing this application, my eligibility for housing, and any ongoing matters relating to my tenancy. The information includes, but is not limited to a credit, reference or Police check and medical, social and other financial details where applicable.
I declare that the information contained in this application is true and correct. I acknowledge Napier City Council’s right to check the validity of the information supplied by me about my application and ongoing tenancy, including medical, social and financial details where applicable.
I understand that if the information provided is misleading or false, the application may be cancelled.
Applicant 1 Name Date: / / Signature
Applicant 2 Name Date: / / Signature
Please ensure all supporting documentation is included with this application before submitting to Council. Refer to Reference Page for required documentation.
