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Tenants

Tenants

Application to be absent from a Dwelling

This form is to be completed by a tenant to apply to Wentworth Community Housing for approval to be absent from a dwelling. For information or assistance with this form, contact your local office on 02 4777 8000.

Tenant Information

Current Household Members


Please include the details of each household member currently residing at the property and state whether they will stay at the property during your absence.

Person 1

Person 2

Person 3

Person 4

Person 5

Details of Absence

I will be absent from the dwelling
My address whilst absent from the dwelling will be
If you are temporarily going into a nursing home, a rehabilitation centre, respite care or a refuge and will be required to pay rent for your stay please provide details of this.
(Attach evidence to support the rent you will pay).

Tenancy Obligations


Whilst you are away your tenancy obligations under the Residential Tenancies Act 2010 should be met. These include:

  • Payment of rent
  • Payment of water usage accounts or other bills
  • Payment of water usage accounts or other bills

Please explain how these obligations will be met:

Declaration


I understand that, during my absence, I am responsible for meeting the obligations of my Residential Tenancy Agreement.

I have appointed an agent to accept service of any notices which may be given to me as a tenant under the Tenancy Agreement, or under the Residential Tenancies Act 2010.

To complete this form you will need to click on "Send" button and it will generate a PDF, next step is to print that file, sign it and send it to Wentworth.

Wentworth acknowledges the Darug, Gundungurra and Wiradjuri peoples as the traditional owners of the land on which we work and pay respect to Elders, past and present, and to all Aboriginal people living or working in our communities.

© Wentworth Community Housing. All rights reserved.

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