Your Name (required)

Your Email (required)

Your address (required)

Phone Number (required)

How many households are involved in this exchange? (required)
123456

Please list details of everyone in the household who will be moving, starting with yourself as tenant.
Your name, sex and date of birth (required).
MaleFemale

Resident 2 - Name, sex, date of birth and relationship to tenant
N/AMaleFemale

Resident 3 - Name, sex, date of birth and relationship to tenant
N/AMaleFemale

Resident 4 - Name, sex, date of birth and relationship to tenant
N/AMaleFemale

Any further residents moving - please list name, sex, date of birth and relationship to tenant.

Details of present accommodation
Type of home (please select)
HouseFlatBungalow
Type of tenancy (please select)
AssuredSecureFixed-term
Number of bedrooms (required)

Any pets? (yes or no) YesNo

Please tell us:
Your landlord's name (required)

Their email address (required)

Their phone number (required)

Are you currently an employee of Greenfields Community Housing? (required)
YesNo

Are you currently receiving Housing Benefit or Universal Credit? (required)
Housing BenefitUniversal CreditNone

Is there anyone else, excluding those mentioned earlier, who lives with you now? (required)
YesNo
If yes, please give details

I would like to exchange with:

Their Name (required)

Their email (required)

Your reasons for requesting this mutual exchange

Important
Please be aware by exchanging properties you may lose your 'Right to Buy' and the conditions of your new tenancy may change. Please seek advice from your proposed new landlord.
 
Declaration
I have inspected the property that I wish to move into and I am willing to accept it in its present condition. I understand that we can't move until we have received the written consent from our current landlords. I have read and understood the leaflet on exchanging homes. If you are joint tenants, you must both agree to the move. You will both be required to sign an agreement before a Mutual Exchange can take place.

Please confirm that you have read and understood the statement above.
 
I have read the statement above.
 
By providing the information above, you consent to Greenfields Community Housing processing your data to check your eligibility to become a “Mutual Exchange Applicant”. The information you provide will be held on our Document Management system and if your application is successful, will also be held on our Housing Management system. You are able to withdraw your consent at any time by contacting Greenfields’ Neighbourhood Support Manager. However, please note that we are required to retain the information regarding your membership for 6 years after receipt of your application, as per our Data Retention Schedule. For further information please see Our Privacy Policy
 
I give my consent and confirm that I understand how the data submitted will be used.
I give my consent