About You and Your Household

If you are one of our customers, please use this form to tell us about yourself and others living with you, so that we keep our records up to date.

Tenant 1
Details for Tenant 2
Please provide us with the emergency contact details of someone who does not live with you in case of emergency, or in the event we are not able to get hold of you
Second emergency contact
Please let us know about any vulnerabilities you may have, so we can adapt the way we offer you our service. Please tick all that apply
Tenant 1
Tenant 2
About other people in your household
Occupant 1
Please let us know about any vulnerabilities
Occupant 2
Please let us know about any vulnerabilities
Occupant 3
Please let us know about any vulnerabilities
Has anyone left your household?
I give consent for STAR Housing to hold this information to enable them to provide their services to meet my needs. I also understand that I can withdraw my consent at any time by informing STAR Housing in writing