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Consent and Declaration Form

Download Form Here

Please download a copy of the form and complete. The form must be signed by all members of your household aged 18 and above who are included on your Homeseeker application and will be moving with you.

This needs to be submitted within 5 working days of completing your online application.  If you do not provide the document within the timescale,  your application cannot be processed and will be closed.

When completed, if you have the facility to scan or screenshot  the document from a mobile device (you must scan both sides) you can email it to us at or bring the document to the scanning desks in the Council reception between 9am-5pm Monday, Tuesday, Thursday & Friday and 10am-5pm Wednesday. (Copies are also available in the Council reception)

If you cannot use one of the recommended options above, you may also bring your completed form into the Basildon Centre reception between 9am -1pm Saturday. However as the scanning service is not available at this time, you must place your form in an envelope and mark it 'Housing Applications-To be scanned' and include your HR login reference, then ask a member of staff to direct you to the internal post box.

Or post to:

Basildon Council
The Rehousing Team (Homeseeker Register)
The Basildon Centre Basildon
SS14 1DL.

Please ensure that you have provided your Login Reference on the form