Housing Statement Please print in BLOCK LETTERS with a black or blue pen This form is to be completed by an applicant/tenant of social housing to make a statement. This statement MUST be witnessed by an officer of a social housing provider. For information or assistance with this form phone 1300 468 746 24 hours a day seven days a week. Please mark relevant boxes with a If you need more room to answer any questions please include details on a separate page and attach it to this form* Client reference number I the undersigned provide full details T-File number Title Mr Mrs Ms Miss Last name or family name Given name s Unit/House number Street/Avenue Town /Suburb Phone Postcode Mobile Email Do hereby state DH1096 12/13 Page 1 of 2 FACS Privacy Notice This privacy notice applies to the Department of Family and Community Services the Department which consists of the following entities Ageing Disability and Home Care Community Services Housing NSW Strategy and Policy Corporate Services the ....
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How to fill out the AU DH1096 online
The AU DH1096 form is essential for applicants or tenants of social housing to make a statement. This guide provides clear and supportive instructions on how to complete the form online efficiently.
Follow the steps to complete the AU DH1096 form effectively.
- Click 'Get Form' button to access the AU DH1096 form and open it in your browser or document editing tool.
- Begin by filling in your client reference number, which helps identify your application.
- In the section for personal details, provide your full name, including your title (Mr, Mrs, Ms, Miss), last name, and given name(s).
- Enter your address details including unit/house number, street/avenue, town/suburb, postcode, and phone number.
- Include your mobile phone number and email address to facilitate communication.
- Read and complete the declaration section, confirming the information is accurate and that you understand the penalties for providing false information.
- Sign and date the declaration, ensuring to follow the date format DD/MM/YYYY.
- If this form is completed with assistance, the assistant should also sign the declaration, providing their full name, signature, and contact phone number.
- Finally, ensure that your form is witnessed by an officer of a social housing provider as required.
- Once you have filled out the form completely, save your changes, and download, print, or share the form as needed.
Complete your AU DH1096 form online today for a smooth application process.
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