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Add household member

Use this form to let us know that one or more people have moved into your property. All household members must be approved by the department to move into your home. We will conduct a full rent review, so you will need to provide current income details for all household members. You can either attach the documents when submitting this request or send them to your nearest Housing Service Centre.

Your personal details

*



(e.g. 12/06/1971)


Email
Phone
Mail

*

(You must provide at least one contact number)



Your address

If you cannot find your suburb by name, please enter your postcode. If there is no match, please contact your nearest Housing Service Centre





Your postal address

PO Box
Street address


Same as above

*




Who has moved in?

*

*

*

*

*
No
Aboriginal
Torres Strait Islander
Aboriginal and Torres Strait Islander

*

*

Is this person the partner or child of another household member (including other people you may have already added as part of this request)?*

*


Yes
No

*




Current incomes for all household members

You will need to provide evidence of the current income for all household members. You can attach the evidence to this form below, provide this at the your nearest Housing Service Centre or send in by email.

(Maximum file size: 10 MB. Preferred file types: PDF, Jpeg, GIF, TIFF)

  1. Files currently attached:


Personal Information Privacy Notice

The Department of Communities, Housing and Digital Economy is collecting personal information on this form to provide you with housing assistance or assess grant funding applications. This is authorised by the Housing Act 2003. To assist you with your housing needs and services, relevant personal information may, in very limited and specific circumstances, be disclosed to: partner agencies, service providers, agencies authorised by legislative provisions, and local governments and non-governmental agencies that now, or will provide you with housing and/or support services. Limited personal information may be used for housing related research, policy or planning functions. Unless authorised or required by law, your personal information will not be passed on to any other third party without your consent. More information about the department’s privacy policy is available on our website at www.chde.qld.gov.au.

Declaration

I confirm the information submitted is true and correct. I acknowledge that it is an offence under the Housing Act 2003 to knowingly give false or misleading information to the department that may influence decisions about the provision of housing services to me.

Disclaimer

While the department will make every effort to provide assistance, completing this form does not guarantee that the department will be able to provide the assistance you require.

 

Licence
Creative Commons Attribution-NoDerivs 3.0 Australia (CC BY-ND 3.0)

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