Retirement living PLUS pre-application form

 
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Includes tenancies with Homes Plus (formerly Severnside Housing, South Staffordshire Housing Association and Stafford and Rural Homes).

Health

Finances

By submitting this form I confirm that I agree to the information being held on computer, on the understanding that in accordance with the Data Protection Act, it will be treated as confidential and not disclosed to any unauthorised person without my consent.

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