fbpx Application form | Havelock Housing

Application form

Use this form to express interest in being housed by Havelock Housing
Required for statistical purposes only
Required for statistical purposes only
For purposes of Disability Housing only. Note that details of your plan may be provided to support providers for matching purposes
Emergency Evacuation Assessment
Why is this form important? Havelock Housing need to maintain effective arrangements regarding emergency evacuation for all residents, employees and visitors. We require you to complete this form so that we may establish and particular needs that you may have to enable you to safely evacuate the building. Any detail you provide will be handled in confidence and stored in line with the Privacy Act.