Tenant Information Name
Last name or family name
Given name(s)
Additional occupant information
This section is to be completed by the Tenant. Please include the details of each new additional occupant to be housed with you. Attach proof of identity for each additional occupant in your household. You will also need to attach proof of citizenship, residency or visa category, property ownership, income and assets for each additional person 18 years old or over. See the Evidence Requirements Information Sheet for more information.
How many new additional occupants do you want to add? 1 2 3 4 5
Person 1 Is the additional occupant born in Australia? Is the additional occupant an Australian Citizen? If the additional occupant is not an Australian citizen, what is its residency status and their visa subclass number?
(Write the relevant residency status then write the visa subclass number)
Is the additional occupant an Australian Citizen?
Does this additional occupant currently living at your property? Is this additional occupant a current tenant, an additional occupant or a former tenant of Link Wentworth or Housing NSW? Aboriginal or Torres Strait Islander Origin Are you, or the additional occupant, of Aboriginal or Torres Strait Islander origin?
If not already provided, attach confirmation of Aboriginality. See the Evidence Requirements Information Sheet for details.
Do you or anyone on this application have a disability or ongoing medical condition? Attach proof of disability or medical condition. See the Evidence Requirements Information Sheet for details.
Proof of disability or medical condition
Support arrangements Do you or a person on this application receive ongoing support from an organisation, a program or a person/individual?
Attach documents that support your answer. See the Evidence Requirements Information Sheet for details.
Person 2
Is the additional occupant born in Australia? Is the additional occupant an Australian Citizen? If the additional occupant is not an Australian citizen, what is its residency status and their visa subclass number?
(Write the relevant residency status then write the visa subclass number)
Is the additional occupant an Australian Citizen?
Does this additional occupant currently living at your property? Does this additional occupant have a current application for housing? Wishes to remain on the NSW Housing register? If no, the additional occupant should provide a written request to remove them from the register
Is this additional occupant a current tenant, an additional occupant or a former tenant of Link Wentworth or Housing NSW? Aboriginal or Torres Strait Islander Origin Are you, or the additional occupant, of Aboriginal or Torres Strait Islander origin?
If not already provided, attach confirmation of Aboriginality. See the Evidence Requirements Information Sheet for details.
Do you or anyone on this application have a disability or ongoing medical condition?
Attach proof of disability or medical condition. See the Evidence Requirements Information Sheet for details.
Proof of disability or medical condition
Do you or a person on this application receive ongoing support from an organisation, a program or a person/individual? Attach documents that support your answer. See the Evidence Requirements Information Sheet for details.
Person 3
Is the additional occupant born in Australia? Is the additional occupant an Australian Citizen? If the additional occupant is not an Australian citizen, what is its residency status and their visa subclass number?
(Write the relevant residency status then write the visa subclass number)
Is the additional occupant an Australian Citizen?
Does this additional occupant currently living at your property? Does this additional occupant have a current application for housing? Wishes to remain on the NSW Housing register? If no, the additional occupant should provide a written request to remove them from the register
Is this additional occupant a current tenant, an additional occupant or a former tenant of Link Wentworth or Housing NSW? Aboriginal or Torres Strait Islander Origin Are you, or the additional occupant, of Aboriginal or Torres Strait Islander origin?
If not already provided, attach confirmation of Aboriginality. See the Evidence Requirements Information Sheet for details.
Do you or anyone on this application have a disability or ongoing medical condition?
Attach proof of disability or medical condition. See the Evidence Requirements Information Sheet for details.
Proof of disability or medical condition
Do you or a person on this application receive ongoing support from an organisation, a program or a person/individual? Attach documents that support your answer. See the Evidence Requirements Information Sheet for details.
Person 4 Is the additional occupant born in Australia? Is the additional occupant an Australian Citizen? If the additional occupant is not an Australian citizen, what is its residency status and their visa subclass number?
(Write the relevant residency status then write the visa subclass number)
Does this additional occupant currently living at your property? Does this additional occupant have a current application for housing? Wishes to remain on the NSW Housing register? If no, the additional occupant should provide a written request to remove them from the register
Wishes to remain on the NSW Housing register? If no, the additional occupant should provide a written request to remove them from the register
Is this additional occupant a current tenant, an additional occupant or a former tenant of Link Wentworth or Housing NSW? Aboriginal or Torres Strait Islander Origin Are you, or the additional occupant, of Aboriginal or Torres Strait Islander origin?
If not already provided, attach confirmation of Aboriginality. See the Evidence Requirements Information Sheet for details.
Do you or anyone on this application have a disability or ongoing medical condition?
Attach proof of disability or medical condition. See the Evidence Requirements Information Sheet for details.
Proof of disability or medical condition
Do you or a person on this application receive ongoing support from an organisation, a program or a person/individual? Attach documents that support your answer. See the Evidence Requirements Information Sheet for details.
Person 5 Is the additional occupant born in Australia? Is the additional occupant an Australian Citizen? If the additional occupant is not an Australian citizen, what is its residency status and their visa subclass number?
(Write the relevant residency status then write the visa subclass number)
Is the additional occupant an Australian Citizen?
Does this additional occupant currently living at your property? Does this additional occupant have a current application for housing? Wishes to remain on the NSW Housing register? If no, the additional occupant should provide a written request to remove them from the register
Is this additional occupant a current tenant, an additional occupant or a former tenant of Link Wentworth or Housing NSW? Aboriginal or Torres Strait Islander Origin Are you, or the additional occupant, of Aboriginal or Torres Strait Islander origin?
If not already provided, attach confirmation of Aboriginality. See the Evidence Requirements Information Sheet for details.
Do you or anyone on this application have a disability or ongoing medical condition?
Attach proof of disability or medical condition. See the Evidence Requirements Information Sheet for details.
Proof of disability or medical condition
Do you or a person on this application receive ongoing support from an organisation, a program or a person/individual? Attach documents that support your answer. See the Evidence Requirements Information Sheet for details.
