Housing service panel application form

Thank you for your interest in the Housing Service Panel. To apply please complete this form.

1. Your contact details
Are you:
Reason for application


If you need help in filling in this form or have any further questions before submitting your application form please contact the:
Policy Unit Manager directly on 01623 463428
Tenant Involvement Officer directly on 01623 463485


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Data protection

The information you supply will be used to enable this request or notification to be carried out and will be handled in accordance with the Data Protection Act 1998. For more information please see our privacy notice.