Once you have finished filling out this form in full, please read this declaration carefully and tick the “I agree to Terms & Conditions” box below.
Collection and Use of Data
The housing authority will use the data which you have supplied to administer your housing application. Data may be shared with other public bodies for the purpose of the prevention or detection of fraud. The housing authority may,
in conjunction with the Department of the Environment, Heritage & Local Government, process this data for research purposes including forward planning in relation to the assessment of housing needs. The housing authority may, for
the purpose of its functions under the Housing Acts of 1966 - 2014, request and obtain information from another housing authority, the Criminal Assets Bureau, An Garda Síochána, The Department for Social Protection, the Health Service
Executive [HSE] or an approved housing body, in relation to occupants or prospective occupants of, or applicants for, local authority housing, and any other person the authority considers may be engaged in anti-social behaviour.
I/We declare that the information and particulars given by me/us on this application are true and correct. I/we undertake to notify the housing authority of any change in my/our household circumstances (e.g. address, household composition,
employment, medical conditions etc.) I/We also authorise the housing authority to make whatever enquiries it considers necessary to verify details on my/our application.