Application Form for a House in Multiple Occupation (HMO) Licence
  • Application Form for a House in Multiple Occupation (HMO) Licence

  • NOTE TO APPLICANTS

    Please note that it is a criminal offence to knowingly supply information which is false or misleading for the purposes of obtaining a licence.  Evidence of any statements made in this application with regard to the property concerned may be required at a later date.  If we subsequently discover something which is relevant and which you should have disclosed, or which has been incorrectly stated or described, your licence may be cancelled or other action taken.

     

    Please also note in undertaking checks to establish that you are a fit and proper person we will be contacting other departments within the council - e.g. Council Tax and Benefits and we may also approach other authorities such as the Police, Fire and Rescue Service, Office of Fair Trading etc, for information and confirmation.

  • PART 1 - LANDLORD INFORMATION

    This section must be completed by the applicant
  • Format: 00000-00000[0].
  • Are you a Company, Partnership or Trust?
  • Are you an individual?
  • Format: 00000-00000[0].
  • Please select role from below:
  • Format: (000) 000-0000.
  • Please select role from below:
  • Please select role from below:
  • Format: 00000-00000[0].
  • Format: 00000-00000[0].
  • Format: 00000-00000[0].
  • Fit & proper person

  • The local authority must have regard (amongst other things) to evidence which shows that a person or any person associated or formerly associated whether personally or on a work basis with the property provided it is relevant to whether the person is fit and proper, has
     
    Been convicted of an offence involving:
     
    Fraud
     
    Dishonesty
     
    Violence
     
    Drugs
     
    Sexual Offences Act Schedule 3
     
     
     
    Practised unlawful discrimination on grounds of sex, colour, race, ethnic or national origins or disability in connection with a business.
     
      
    Contravened any provision of housing or landlord and tenant law.  In particular, within the last five years been in control of any property:
     
    subject to a control order
     
    subject to proceedings by a local authority
     
    where the local authority has had to carry out works in default
     
    subject to a management order under the Housing Act 2004
     
    Or been refused a licence or breached conditions of a licence

    Acted in contravention of any Approved Code of Practice (ACoP). 

    Please note we may require your co-operation in obtaining Criminal Records Bureau (CRB) or similar information in confirmation of the above.

  • Do any of the above apply to you or anyone involved in the management of the property?
  • Are you an un-discharged bankrupt?
  • Are you a member of any landlords association or other professional body?
  • Are you an accredited landlord in this or another Authority?
  • Are you a licensed landlord in this or another Authority?
  • Have you undertaken any training courses or attended any conferences in the last three years which you think may make you a more informed landlord?
  • Is there a mortgage on the property?
  • Do you have other dwellings you own and let?
  • Part 2 - Agent / Manager / Rent Collector

    Please ONLY complete this if the details are different from the landlord
  • Do you employ an Agent, Manager or Rent Collector?
  • Format: 00000-00000[0].
  • Is the Agent / Manager / Rent Collector part of a company?
  • Format: 00000-00000[0].
  • Format: 00000-00000[0].
  • Fit & proper person

  • The local authority must have regard (amongst other things) to evidence which shows that a person or any person associated or formerly associated whether personally or on a work basis with the property provided it is relevant to whether the person is fit and proper, has
     
    Been convicted of an offence involving:
     
    Fraud
     
    Dishonesty
     
    Violence
     
    Drugs
     
    Sexual Offences Act Schedule 3
     
     
     
    Practised unlawful discrimination on grounds of sex, colour, race, ethnic or national origins or disability in connection with a business.
     
      
    Contravened any provision of housing or landlord and tenant law.  In particular, within the last five years been in control of any property:
     
    subject to a control order
     
    subject to proceedings by a local authority
     
    where the local authority has had to carry out works in default
     
    subject to a management order under the Housing Act 2004
     
    Or been refused a licence or breached conditions of a licence

     

    Acted in contravention of any Approved Code of Practice (ACoP). 

    Please note we may require your co-operation in obtaining Criminal Records Bureau (CRB) or similar information in confirmation of the above.

  • Do any of the above apply to you or anyone else involved in the management of the property?
  • Are you a member of any landlord's association or other professional body?
  • Are you a member of an accreditation scheme in this or another local authority?
  • Are you a licensed manager in this or another local authority?
  • Please note that it is a criminal offence to knowingly supply information which is false or misleading for the purposes of obtaining a licence. Evidence of any statements made in this application with regard to the property concerned may be required at a later date. If we subsequently discover something which is relevant and which you should have disclosed, or which has been incorrectly stated or described, your licence may be cancelled or other action taken. Please note in undertaking checks to establish that you are a fir and proper person we will be contacting other sections within the Council e.g. Benefits and Council Tax departments and we may also approach other authorities such as the Police, Fire and Rescue Service, Office of Fair Trading etc for information and confirmation. By ticking the declaration at the end of this form will constitute your consent to this.

  • Part 3 - Owners of a Licensable Property Certificate of Title

  • Date
     - -
  • Part 4 - Property Information

    This section must be completed
  • Considering the age, character and locality of the property, please state if it is/has the following:
  • How often do you inspect the property?
  • Do you have a schedule for planned maintenance?
  • Do you have a schedule for inspection of furniture / facilities / equipment?
  • Type of construction
  • When was the property constructed?
  • Fire Precautions

  • Has a fire risk assessment been carried out?
  • Do you have a current fire detection and alarm system commissioning or inspection certificate? (please provide copies)
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  • Is there currently an adequate hard wired system of smoke/heat detectors incorporating smoke or heat detectors in the communal areas, alarms or sounders on all levels, emergency lighting in communal areas, a control panel, call points?
  • Is the main escape route 30 minute fire resisting?
  • Is the main escape route protected by fire doors?
  • Are the fire doors fitted with self-closing devices?
  • Is the escape route kept clear of flammable material and other obstructions?
  • Do you have a contractor to maintain and inspect your fire safety systems?
  • Is there a log book of inspections / testing?
  • Heating / Hot water and Insulation

  • What form of heating does the property have? (please select all that apply)
  • Gas safety

  • Have you had an annual gas safety inspection from a gas safe engineer within the last 12 months to confirm that the gas installation and appliances are safe?
  • Have you got a landlord's Periodical Gas Safety Inspection Certificate? (please provide copies)
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  • Is there a Carbon Monoxide (CO) detector and alarm fitted in the property?
  • Is the loft insulated?
  • If there are cavity walls, do you have cavity wall insulation?
  • Please state the type of windows installed at the property
  • Electrical Safety

  • Have you had an electrical safety inspection carried out by a competent engineer within the last 5 years to confirm that the electrical installation both power and lighting circuits are safe?
  • Do you have a landlord's Periodical Electrical Safety Certificate?
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  • Electrical appliances and furniture

  • Do you provide electrical appliances?
  • If Yes, are all the appliances compliant with health and safety regulations?
  • Do you provide furniture?
  • If Yes, is all furniture compliant with current fire safety regulations?
  • Have you had your property inspected for the presence of asbestos?
  • Is there a current and valid buildings insurance policy for the property?
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  • Part 5 - Tenancy Management

    Please confirm whether you provide the following to your tenants
  • Type of information provided (please select all that apply)
  • Have you participated in any tenancy deposit or rent guarantee scheme in Surrey or elsewhere, e.g. the Smartmove or Saferent schemes?
  • From 1st October 2014 it is a legal requirement for all lettings agents and property managers in England to join one of three Government-approved redress schemes. Which one have you joined? (please tick)
  • Part 6(a) - Complete for Bedsit Houses

  • Rows
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  • Please click here for the checklist of information required

  • Declaration

  • Date
     - -
  • If there is any part of this application that has been omitted or completed incorrectly and/or there are documents missing, the application will be rejected. If you operate a mandatory licensable HMO without one during this intervening period, you may be committing an offence.

  • Upon submission of this application, you will be redirected to our online payment facility to make your payment.  You will need to select the HMO Licence Fee payment category from the dropdown list and make your payment using either a debit or credit card.  The current fee is £896.20. Your payment confirmation email will act as your receipt of payment.

    If you are a member of any nationally recognised Landlord Accreditation Scheme or Association, this fee is reduced to £773.70 but only in conjunction with the necessary documentation demonstrating a current membership.  In addition to this you will be required to attach the information required to this application using the file upload option.  Please note if any of the required information is missing we may be unable to process this application for a licence.  If payment is not made on submission of this form your application will not be processed.

    The HMO Licencing Team will receive your application and attached documents and process your application.  If you have any queries relating to the application then you can contact a member of the Private Sector Housing Team on 01276 707100.

    If your tenants are foreign nationals, to comply with an amendment to the Housing Act 2004 you MUST now supply copies of the relevant pages of each tenant's Passport(s).

  • Privacy Statement

    Details of Surrey Heath Borough Council’s Privacy Notice can be found here

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