Referring a new resident

Provided we have a vacancy, Nigel Clarke Properties considers all referrals, subject to risk assessment. We cater for individuals aged 21 years and over. Nigel Clarke Properties operates an equal opportunities policy that places the highest value on respecting the rights, dignity, and privacy of all. A nominal service charge is applicable.

Details: Person making referral

Name of person making referral

Name of organisation

Telephone Number

Email Address

Details: Person bring referred

Name of person being referred

Age

Date of birth

National insurance number

Nationality/Ethnicity

Which benefit do they claim

Reason for being homeless

Previous address and reason for leaving

Was there a claim for housing benefit at this address?

Yes

Details of any criminal background, including arson, violence or sex offenses?

Details of any Health issues, including any mental or physical health issues?

Details of any drug use, how often and how much?

Details of any alcohol use, how often and how much?

Any additional information

Making a referral

Please fill out the form as much as you possibly can, this will then be sent through to us, we'll carry out any necessary checks and be back in touch with you as quick as we can.


If you'd prefer to send us a letter

Please send through all of the information opposite in a letter and we'll be back in touch.

Dormy Hotel
298 Hagley Road
Edgbaston
Birmingham
B17 8DJ