Tai Tokerau Emergency Housing Charitable Trust
Phone 09 430 8098
Tai Tokerau Emergency Housing Charitable Trust
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Housing Enquiry Form
For general enquiries please use our
contact form
.
Δ
Name
(Required)
First
Last
Date of Birth
(Required)
Day
Month
Year
Email
(Required)
Phone Number
(Required)
Family Composition
(Required)
(single male/female, sole parent, couple with children)
Number of Children in Your Care
(Required)
Current Housing Situation
(Required)
Rented Before? (e.g. Private Rental, Kāinga Ora) How long ago?
(Required)
What would you say are some of the major issues you/your family are facing? (Tick all that apply)
(Required)
Housing
Financial/Debt
Employment
Transport
Health Issues
Early Childhood Education
Access / Custody Issues
Family Violence
Non-Attendance at School
Parenting
Grief / Loss
Alcohol or Drugs
Mental Stability/Instability
Parent-Child Relationship
Family Relationships
Effects of Sexual Abuse
Fears / Anxieties
Other
Advice Follow Up
Work and Income Registered?
(Required)
Yes
No
Current Budget Report? (less than 3 months)
(Required)
Yes
No
Social Housing Application?
(Required)
Yet to register
In progress
Complete
SH Rating?
Private Market Rental Applications?
(Required)
(retain evidence)
Yes
No
Appropriate ID?
(Required)
(Birth Cert, License, Passport, Kiwi Access)
Yes
No
Explored alternative housing?
(Required)
(e.g., Family/Friends, Salvation Army, Emerge, Whare Awhina)
Yes
No
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