Redbridge e-forms Rent Deposit Scheme 1Rent Deposit Scheme2Your details3Property details4Financial Information5Declaration Thank you for your interest in the Rent Deposit Scheme. This form is intended for those who have already identified and viewed a private rented property and who need assistance with the deposit and or rent in advance. If you have not yet viewed the property or discussed the property with the landlord or agent, please make sure that you do so before filling out this form. Have you viewed the property or discussed it with the landlord or agent?(Required) Yes No You need to take further action Unfortunately, we're unable to help at this stage. If we're contacting a landlord or agent on your behalf, it's important that you have made contact with them first, usually in arranging a viewing. After attending a viewing and both you and the landlord or agent are happy to proceed, please contact us and we'll try to assist. Please do not make any payments directly to the landlord or agent. Your detailsFirst Name(Required)Please ensure this is the main applicant on your homeless applicationLast Name(Required)Please ensure this is the main applicant on your homeless applicationDate of Birth(Required)Please ensure this is the main applicant on your homeless application Day Month Year Email(Required)Please ensure this is the main applicant on your homeless application Mobile number(Required)Your current address(Required) Address Line 1 Address Line 2 City AberdeenshireAngus/ForfarshireArgyllshireAyrshireBanffshireBedfordshireBerkshireBerwickshireBlaenau GwentBridgendBuckinghamshireButeshireCaerphillyCaithnessCambridgeshireCardiffCarmarthenshireCeredigionCheshireClackmannanshireConwyCornwallCromartyshireCumberlandDenbighshireDerbyshireDevonDorsetDumfriesshireDunbartonshire/DumbartonshireDurhamEast Lothian/HaddingtonshireEssexFifeFlintshireGloucestershireGwyneddHampshireHerefordshireHertfordshireHuntingdonshireInverness-shireIsle of AngleseyKentKincardineshireKinross-shireKirkcudbrightshireLanarkshireLancashireLeicestershireLincolnshireLondonMerthyr TydfilMiddlesexMidlothian/EdinburghshireMonmouthshireMorayshireNairnshireNeath Port TalbotNewportNorfolkNorthamptonshireNorthumberlandNottinghamshireOrkneyOxfordshirePeeblesshirePembrokeshirePerthshirePowysRenfrewshireRhondda Cynon TaffRoss-shireRoxburghshireRutlandSelkirkshireShetlandShropshireSomersetStaffordshireStirlingshireSuffolkSurreySussexSutherlandSwanseaTorfaenVale of GlamorganWarwickshireWest Lothian/LinlithgowshireWestmorlandWigtownshireWiltshireWorcestershireWrexhamYorkshire County Postcode Is the property you are currently living in Temporary Accommodation provided by the London Borough of Redbridge?(Required) Yes No I don't know Details of the property that you have foundPlease provide the address for the private rented property you have found(Required) Address Line 1 Address Line 2 City AberdeenshireAngus/ForfarshireArgyllshireAyrshireBanffshireBedfordshireBerkshireBerwickshireBlaenau GwentBridgendBuckinghamshireButeshireCaerphillyCaithnessCambridgeshireCardiffCarmarthenshireCeredigionCheshireClackmannanshireConwyCornwallCromartyshireCumberlandDenbighshireDerbyshireDevonDorsetDumfriesshireDunbartonshire/DumbartonshireDurhamEast Lothian/HaddingtonshireEssexFifeFlintshireGloucestershireGwyneddHampshireHerefordshireHertfordshireHuntingdonshireInverness-shireIsle of AngleseyKentKincardineshireKinross-shireKirkcudbrightshireLanarkshireLancashireLeicestershireLincolnshireLondonMerthyr TydfilMiddlesexMidlothian/EdinburghshireMonmouthshireMorayshireNairnshireNeath Port TalbotNewportNorfolkNorthamptonshireNorthumberlandNottinghamshireOrkneyOxfordshirePeeblesshirePembrokeshirePerthshirePowysRenfrewshireRhondda Cynon TaffRoss-shireRoxburghshireRutlandSelkirkshireShetlandShropshireSomersetStaffordshireStirlingshireSuffolkSurreySussexSutherlandSwanseaTorfaenVale of GlamorganWarwickshireWest Lothian/LinlithgowshireWestmorlandWigtownshireWiltshireWorcestershireWrexhamYorkshire County Postcode What is the monthly rent for this property?(Required)What type of property is it?(Required) House Flat Studio Maisonette Room in a shared house Other How many bedrooms does the property have?(Required) 0 (studio) 1 2 3 4 Please provide the landlord/agents email address(Required) Please provide the landlord/agents telephone number(Required) Financial Information It's important that we know some details about your income and expenditure so that we can assess whether the property is affordable for you. You may be asked to provide proof of income at a later stage.Are you currently employed?(Required) Yes No Please provide your employer name, your job title and monthly income(Required)Are you receiving benefits?(Required) Yes No Please list all the benefits you receive (e.g. Universal Credit, Housing Benefit) and the amount you receive each month(Required)Do you have any savings?(Required) Yes No Please provide the approximate amount of savings you have(Required)Are you currently in rent arrears and/or debt?(Required) Yes No Please provide the approximate amount of rent arrears and/or debt you have(Required) Declaration(Required) I confirm that the information provided is accurate to the best of my knowledge. I understand that assistance is subject to funding and eligibility. I agree not to make any deposit payments to the landlord or agent until I receive confirmation from Redbridge Council.