Stirling Council Housing And Customer Service Housing Application Form Page 13
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322.6
Please tell us the number of each room type that you have in your current home?
Main Applicant
Joint Applicant
Living rooms?
Separate* dining rooms?
We define separate – as a dining room
with its own entry door
Double Bedrooms?
Single Bedrooms?
Box-rooms?
2.7
Does your current home have any of the following problems? (P)
Please tick (4) the boxes below.
Main App
Joint App
Does your home have structural problems/is it unstable?
Does your home suffer from damp/dampness?
Is there a current closing/demolition/environmental
health order on your home ? (P)
We may visit you if you have answered Yes, to any of the above questions. If you have told us
that there is a closing/demolition or environmental health order on your home, please send
us a copy of these documents.
2.8
Please tick (4) the boxes below that show the facilities you have in your current home.
My /our current home has
I /we share the following with
the following
non-household members
Bath
Shower
Sink
Inside toilet
Kitchen/cooking facilities
Piped water
n/a
Mains electricity
n/a
Hot water supply
n/a
Heating in all rooms
n/a
2.9
Please tick (4) if your current home has had any adaptations made to it?
Handrails
Ramps to front and/or rear of property
Stairlift/Stairchair
Wet floor shower
Other (please specify)
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