Reporting A Death FORM

Reporting A Death Form

Dealing with the death of a family member is hard and we are here to guide you through this difficult time,

Please tell us the name of the Tenant who has passed away*
First Last
Date they passed away*

DD
MM
YYYY
Address*
Street Address Address Line 2 Post Code
Were you living with the tenant who has passed away*
- Yes
- No
If you live at the above address, do you wish to apply to succeed to the tenancy?*
- Yes
- No
Your Name*
First Last
Email Address
Contact Number*
File Upload - Death Certificate*
Accepted file types: jpg, png, pdf.
Please upload documents using the upload function buttons. Please note this must be either a jpg, png, pdf
I agree to the privacy policy.*
- Our privacy statement sets out how we look after your personal data - we will only use your personal data for the purposes of managing this application - reporting a death.
I understand that WCHG will need to use my personal data for the purposes of managing this application and I am aware of WCHG's privacy notice which outlines in more detail how WCHG may process my personal data
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