Chichester and Arun Landlord Accreditation Scheme Application Form Landlord Accreditation Application Form Please complete the form using BLOCK CAPITALS. All applications, whether in Chichester or Arun, should be sent to: Chichester District Council, Environmental Health Housing, East Pallant House, 1 East Pallant, Chichester, West Sussex PO19 1TY First Application Renewal Applicant Details (the applicant must be the owner) Full Name (Mr/Mrs/Ms): Address: Post Code: Home Tel No: Work Tel No: Mobile Tel No: Fax No: Email Address: Details of the Manager/Agent/Person responsible for management Full Name (Mr/Mrs/Ms): Address: Post Code: Home Tel No: Work Tel No: Mobile Tel No: Fax No: Email Address: Premises to be accredited All premises in Chichester and Arun Districts must be listed below House in multiple No of storeys occupation or house (including basements, in single occupation? attics, mezzanine floors and commercial premises) If more than 8 properties please note details of other premises on an accompanying sheet. Documents REQUIRED for acceptance on the scheme (Which should ideally be submitted with your application):- • Gas Safety Certificate (if gas present) • Periodic Electrical Inspection Report, no more than 5 years old, confirming safety of the electrical installation. • Sketch plan of the layout of each floor in the property. The plan must identify the use and location of each room and the location of any fire precautions including heat/smoke detectors, control panel, emergency lighting and fire doors. • A Portable Appliance Testing (PAT) report for all electrical appliances provided by the landlord, no more than 5 years old. Data Protection The information provided will be held on a computer database registered in accordance with the Data Protection Act 1998. In order to offer landlords the maximum benefits from joining the scheme, however, it may be necessary for the District Council to provide some details to third parties, for example in order that addresses of properties can be advertised. Please tick the box if you wish to allow your details to be released Declaration • I do not own any rented houses in Chichester or Scheme Standards Arun Districts other than those listed. I have no unspent convictions in respect of: • I confirm that I have read and understood the Scheme Standards and I agree to bring all the • Any offence involving fraud or other dishonesty, or premises listed up to those standards in a violence or drugs or any offence listed in Schedule 3 timescale agreed with the Council. to the Sexual Offences Act 2003. • Any unlawful discrimination on grounds of sex, Furniture Safety Declaration colour, race, ethnic or national origins or disability in, or in connection with, the carrying on of any • I declare that to the best of my knowledge, business; and information and belief, all the furniture and furnishings which have been provided at the • Contravention of any provision of the law relating to premises listed comply with the current Furniture housing or of landlord and tenant law; (including and Furnishings (Fire) (Safety) Regulations and all any civil proceedings that you have lost). other statutory safety requirements. • I have not acted in contravention of any Approved • I will ensure that any furniture which is provided to Code of Practice (Acop) in relation to the these premises will comply with these Regulations management of HMOs. and requirements. • No property in my control has been the subject of • I will take all reasonable steps to ensure that the any proceedings by a local authority (such as tenants are aware that any furniture and furnishings breaches of the Environmental Protection Act 1990, provided by themselves must also comply with the planning control, compulsory purchase proceedings above mentioned Regulations. or fire safety requirements). • I declare that the information contained in this application is correct to the best of my knowledge. Management Code • I confirm that I have read and understood the Code of Good Management and I agree to abide by the terms of the Code. Signed: Date: Print Name: If you have any queries about applying for accreditation please telephone 01243 534620 or email email@example.com Printed on 100% recycled paper. Please recycle after use.
Pages to are hidden for
"Chichester and Arun Landlord Accreditation Scheme Application Form Landlord"Please download to view full document