Supported exempt accommodation enquiry form
Mandatory - Name of provider
Mandatory - Address
Mandatory - Contact name
Mandatory - Phone number
Mandatory - Email addressInvalid - Email address
Mandatory - Company Registration Number
Mandatory - Please select which category your organisation falls in.
Details of proposed supported accommodation scheme
Mandatory - Does the landlord provide care, support or supervision to the tenants?
Mandatory - What is the scheme client group?
Mandatory - Where will referrals be received from?
Mandatory - How many hours of support will be provided to each resident per week?
Mandatory - Does the property currently have residents in it?
Mandatory - Has the head lease been signed?
Mandatory - Property address
Mandatory - Type of property including number of bedrooms
Mandatory - Lease or mortgage?
Mandatory - Have you discussed this scheme with Solihull Council’s Adult Commissioning services, Adult Social Care, Homeless and Housing service or any other departments?
Mandatory - If you answered yes, please provide the name of the officer you spoke to and the department they work in. If you answered no, please type N/A.
Data Protection
Your information may be shared with other council services and partner organisations to ensure
our records are kept accurate and to help us to identify services or benefits you may be entitled to or interested in.
We may also need to share your information for the prevention and detection of fraud and/or other crimes or as the law requires.
For further information about how we use your information please refer to the Council’s Privacy Statement on
www.solihull.gov.uk.