Online Registration

Housekeeper

First name(Required)

Name(Required)

Email(Required)

National number(Required)

Phone(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Cohabitant

Cohabitant(Required)

Yes

First name

Name

National number

Phone

Other people

Please list any individuals who are not part of your household composition but will be living in the dwelling with you. Please specify why these individuals are not included in your household composition: shared custody, family reunification, other, etc.

Name

First name

Genre

Date of birth

Motif

Current housing

How are you currently housed?(Required)

Which one?

Housing sought

In which municipality (or municipalities) would you like to live?(Required)

(Attention, Comme Chez Toi will NOT offer you accommodation in the Municipalities you do not wish to live in)

Up to what floor do you deliver without an elevator?(Required)

If you are a single person, are you searching?

Debts

Do you have any debts?(Required)

Amount

Are you in debt mediation?(Required)

Social services

Are you followed by a social service?(Required)

Service Name

Contact person

Contact details

PMR - disability

Are there people with disabilities?(Required)

Thank you for indicating people with disabilities:

Name

First name

Handicap (yes/no)

66% (yes/no)

Wheelchair (yes/no)

Optional notes

Please provide any useful details below.

Personal data

By signing this document, the candidate:

authorize Comme Chez Toi to use the information on this form and use it for the purpose of their housing rental application.
authorize Comme Chez Toi, in the exercise of its activity as a Social Real Estate Agency, to access the personal data available from the services of the FPS Finance, the National Register, the Crossroads Bank for Social Security, and local administrations.
is entitled to exercise their right of access to their data at any time and to have it rectified or archived.

Essential documents

Please attach the following documents:

Double-sided ID cards for all residents of the dwelling.(Required)

Drop files here or

Accepted file types: pdf, jpg, png, tiff, Max. file size: 32 MB, Max. files: 10.

Household composition (Do not forget to cross out directly on your household composition form those individuals who are not concerned by the housing application.)(Required)

Drop files here or

Accepted file types: pdf, jpg, png, tiff, Max. file size: 32 MB, Max. files: 1.

The entirety of all warnings excluded from role from the major household members(Required)

Drop files here or

Accepted file types: pdf, jpg, png, tiff, Max. file size: 32 MB, Max. files: 10.

Bank statements are not valid proof.

If applicable, include copies of any other documents relevant to your request.

Drop files here or

Accepted file types: pdf, jpg, png, tiff, Max. file size: 32 MB.

Allocation Regulations

I solemnly declare that:

I meet the income requirements for social housing.
I have read the regulations for the Comme Chez Toi grant, which are available on the internet.
After 2 rejected housing applications (or no response), my housing application will be canceled.
I must communicate any changes: address, phone number, email, household composition, etc.
If Comme Chez Toi cannot reach me, my housing request will be deactivated.
No household member owns or has the right of usufruct of a property.

Date and signature

To be valid, this form must be complete, legible, dated, and signed.

Date(Required)

Head of household signature(Required)

Co-habitant's signature

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