Medical needs Q21 Do any of these circumstances apply to you? Circumstance Mark with X I need housing without stairs because of limited mobility, and I live in housing with stairs now I have a medical condition and I need to access specialist medical or care services I get to from where I live now by private or public transport can’t Someone I live with needs to attend a specialist education facility and they get to it can’t from where we live (for example, you live outside of the zone for a special school that your child can attend, and the only way your child can attend is to move to another area) I need a full time live-in carer but I have one because my housing is too small or in can’t the wrong area My housing has a harmful effect on my health or medical condition (for example, an aspect of your housing be managed or changed and it is having a harmful effect can’t on your health or medical condition) No, go to Q22 If any of these circumstances apply to you, explain why your current housing is unsuitable. If any of these circumstances apply to you, explain why your current housing is unsuitable. Document required Complete an Application for Special Accommodation Requirements to tell us what type of housing you need and where you need to live. Ask your medical professional, social worker or other relevant professional to fill in the back section and confirm your need for a particular type of housing or location or both. They also need to describe the impact your current housing is having on your, or someone you live with's, wellbeing or medical condition. Inappropriate housing To decide if you need at least two or more bedrooms, we consider the following: two children of the same gender, under 18 years of age, share one room two siblings of the same gender, regardless of age, share one room two children of any gender, both under six years of age, share one room. Q23 Do any of these circumstances apply to you? Circumstance Mark with X I have children in my care and live in a private rooming house, hotel room or caravan without access to our own cooking or bathroom facilities My current housing forces parents or other adults to share bedrooms with children My current housing forces children of different genders to share a bedroom (where at least one child is six years or older)
Medical needs Q21 Do any of these circumstances apply to you? Circumstance Mark with X I need housing without stairs because of limited mobility, and I live in housing with stairs now I have a medical condition and I need to access specialist medical or care services I can’t get to from where I live now by private or public transport Someone I live with needs to attend a specialist education facility and they can’t get to it from where we live (for example, you live outside of the zone for a special school that your child can attend, and the only way your child can attend is to move to another area) I need a full time live-in carer but I can’t have one because my housing is too small or in the wrong area My housing has a harmful effect on my health or medical condition (for example, an aspect of your housing can’t be managed or changed and it is having a harmful effect on your health or medical condition) No, go to Q22 If any of these circumstances apply to you, explain why your current housing is unsuitable. If any of these circumstances apply to you, explain why your current housing is unsuitable. Document required Complete an Application for Special Accommodation Requirements to tell us what type of housing you need and where you need to live. Ask your medical professional, social worker or other relevant professional to fill in the back section and confirm your need for a particular type of housing or location or both. They also need to describe the impact your current housing is having on your, or someone you live with's, wellbeing or medical condition. Inappropriate housing To decide if you need at least two or more bedrooms, we consider the following: two children of the same gender, under 18 years of age, share one room two siblings of the same gender, regardless of age, share one room two children of any gender, both under six years of age, share one room. Q23 Do any of these circumstances apply to you? Circumstance Mark with X I have children in my care and live in a private rooming house, hotel room or caravan without access to our own cooking or bathroom facilities My current housing forces parents or other adults to share bedrooms with children My current housing forces children of different genders to share a bedroom (where at least one child is six years or older)
Priority-access-application-form.docx