Application for visitor extended stay This form is for a public housing tenant who wants to have a visitor/s stay with them for more than two (2) weeks. Only one tenant who has signed the current tenancy agreement needs to apply for approval. You can ask a staff member for help filling out this form. Do you require an interpreter to help you complete this form? Yes No If yes, please indicate your preferred language: Tenant details Title Mr / Mrs / Miss / Ms / Other Date of (please circle) Family name Given names Residential or community address Contact number Mobile Email Visitor details Number of days your Date visitors arriving visitors will stay with you Number of visiting Adults Number of visiting Children (18 years and over) (under 18years) Why do your visitor/s need to stay longer than 14 days? (e.g. medical appointment, visit family, to attend a sporting or cultural event, school holidays)
Application for visitor extended stay This form is for a public housing tenant who wants to have a visitor/s stay with them for more than two (2) weeks. Only one tenant who has signed the current tenancy agreement needs to apply for approval. Do you require an interpreter to help you complete this form? Yes No If yes, please indicate your preferred language: You can ask a staff member for help filling out this form. Tenant details Title (please circle) Mr / Mrs / Miss / Ms / Other Date of Family name Given names Residential or community address Contact number Mobile Email Visitor details Date visitors arriving Number of days your visitors will stay with you Number of visiting Adults (18 years and over) Number of visiting Children (under 18years) Why do your visitor/s need to stay longer than 14 days? (e.g. medical appointment, visit family, to attend a sporting or cultural event, school holidays)
visitor-extended-stay-form.docx