Notification of Deceased TenantPlease enable JavaScript in your browser to complete this form.Date Office Advised *Name of Deceased Tenant *FirstLastAddress of Deceased Tenant *Address Line 1Address Line 2CityState / Province / RegionPostal CodeDate of Tenants Death *Details of Person (relative/executor) notifying office:Name *FirstLastRelationship to Deceased TenantAddressAddress Line 1Address Line 2CityState / Province / RegionPostal CodeContact Phone Number *Date Keys Expected At The OfficeAdditional Comments In Relation To The Tenancy TerminationAuthorisation to clear propertyAny belongings should be removed from the house/ garden. Any items remaining within the property will be removed and disposed of by the Association. The costs associated with the removal of such items may be recharged to the deceased tenant’s estate. Please tick this box if you agree with this statement *Yes, i understand, and agreeI/we understand that a member of staff from Cunninghame Housing Association will contact me within 7 days to discuss my application and I/we will be asked to confirm two security questions. If I/we fail to make contact my application will be refused and I/we would need to make a further application. I/we understand that the Association will formally respond to the application in writing within one month of the application being made confirming if the request has been granted or refused.Do you agree with the above Terms and Conditions *YesCompletion of this application form does not mean consent has been granted. You should not make any changes to your tenancy until you receive a letter from the Association advising of the outcome including any conditions relevant to your application.I hereby confirm that the information provided on this form is correct and that any false or misleading information or the withholding of any relevant information may result in the application being cancelled or if it has been approved that this will be revoked. I agree that Cunninghame Housing Association Limited can make necessary enquiries to confirm the details provided are correct. I agree to the above statement *YesSignature (relative/executor): *by typing your name here you are digitally signing this form.Date of SignatureTodays dateUpload copy of Death Certificate Click or drag files to this area to upload. You can upload up to 3 files. Please upload a copy of the deceased death certificate ensuring that all details are clear and legible.Name *FirstLastSubmit
