Risk of<br>Reoffending<br>& Harm
Please provide a complete history of your / the applicant’s housing history covering the last 5 years. Please include temporary housing, hospital admissions, prison sentences, homelessness etc. For ‘Type of accommodation’ please specify (private rental, B&B, staying with friends, living with family, hostel, hospital, prison, local authority, housing association etc.)
This section is one of the most important as it helps us to understand how best we can support the applicant whilst residing with us and helps us to consider which of our properties would best support their rehabilitation.
Please identify any relevant risk indicators below including details about the behaviour and any protective factors that mitigate the level of risk.
Have you / the applicant ever been convicted of…
Please give details of any other agencies involved in the management and support of the applicant
Children’s Services / Adult Social Care
Mental Health Worker / CPN / Psychiatrist
Drug / Alcohol Worker
Voluntary / Charity Organisationr
I give consent for the information contained herein to be shared with other agencies for the purpose of assessing and addressing my housing and support needs.
I give consent for the referrer to obtain and provide further information, some of which may be special category information regarding any criminal or social/medical history from relevant agencies regarding my support needs.
I understand that Reactive8 Housing may enquire and seek further information appropriate to my application for housing and give consent for the appropriate professionals, familiar with my history, housing and support needs to release information about what is deemed necessary and appropriate to my application upon request.
I understand that I can withdraw my consent for Reactive8 Housing to access and/or share personal information related to me at any time upon making a written submission to this effect. I understand that withdrawing consent to access and/or share information will invalidate any Licence Agreement that I may have entered with Reactive8 Housing and that any offer or supply of accommodation will be withdrawn.
Once happy, click submit below