Tenancy Termination form

  • Applicant Details

  • Date Format: DD slash MM slash YYYY
  • Full NameDate of birthM/FRelationship 
  • Tenancy History

  • AddressStart of TenancyEnd of Tenancy 
  • Income and Assets

  • EmployerGross weekly incomeLength of employment 
  • Name of household memberSource of incomeGross weekly income 
  • Affordable Housing Evidence Requirements Checklist

    In order for Bridge Housing to consider your application for affordable housing you must provide the following evidence to support your application along with this signed completed checklist.
  • Have you provided:
  • Authority to Disclose Personal Information

  • I am aware that by signing this form I am giving my consent to Bridge Housing Limited to share my personal information to external parties including State and Commonwealth funding bodies and private owners for the purpose of assessing my eligibility for affordable housing. I understand that my personal information will be collected, stored, shared and discarded in accordance with the NSW Privacy Act 1998. I am aware that I can remove my consent at any time however, I understand that by doing so it may affect my ongoing housing in the program. Bridge Housing’s Privacy Policy describes how personal information about you is collected, stored, shared to external parties and discarded and is in accordance with the NSW Privacy Act 1998. A copy of this policy can be found here https://www.bridgehousing.org.au/data/pdfs/corporate_polices/Privacy_Policy.pdf
  • Date Format: MM slash DD slash YYYY
  • Date Format: DD slash MM slash YYYY