All boxes with a bold heading must be completed. The others are optional.
Housing covers many issues and it may be best to complete a different
or additional form to this one. We therefore suggest that you enter your
housing status before filling in your contact details.
Remember you must be in our area. If not please return to previous page
and follow links to find a bureau near you.
Is your eviction/repossession because of rent or mortgage arrears? If
so, and you also have other debts, you might want to complete a Debt enquiry
form too. Please indicate if you have done so in the box lower down this
Is your court hearing or warrant about rent or mortgage arrears? If so,
and you also have other debts you might want to complete a Debt enquiry
If your housing issue is in connection with a relationship that has broken
down take a look at the Relationship Breakdown form in case it is more
If yes, please list them in the boxes which will appear below.
If form does not submit after you have completed the CAPTCHA box, below,
the reason will be displayed at top of form and/or in red next to a required