GAS SAFETY CERTIFICATES.

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Application form PRINT v2_layout 1 30/04/2014 12:15 Page 1 da a Information and Application pack If you are unaware of your duties please see the leaflet Landlords: A guide to landlords duties: Gas Safety (Installation and Use) Regulations 1998. This is available on the Health and Safety Executive website www.hse.gov.uk/pubns/gasindex Or if you would like a hard copy, please call the Accreditation Team on 01782 232271 Updated April 2014 ire sh th nd WE WILL NOT PROCESS ANY APPLICATIONS WITHOUT THESE CERTIFICATES stoke.gov.uk PRIVATE RENTED SECTOR o rd Nor If so, you need to tick the box against gas installation and include a copy of the gas safety certificate with your application form. S e me La nd lor Are there any gas fittings and flues to any of the properties listed in the property register section? c c r e d i t at i o n ch GAS SAFETY CERTIFICATES Centr al Staff

Landlord Accreditation Scheme Nor th and PRIVATE RENTED SECTOR Central Staffordshire Dear Landlord RE: LANDLORD ACCREDITATION SCHEME NORTH AND CENTRAL STAFFORDSHIRE On behalf of the Scheme Operators, I would like to invite you to join the Landlord Accreditation Scheme North and Central Staffordshire. The Scheme is run as a partnership between the Scheme Operators, which include: Stoke-on-Trent City Council Newcastle-under-Lyme Borough Council Stafford Borough Council Staffordshire Moorlands District Council The aim of the scheme is to improve the physical and management standards in the private rented sector. This will be achieved by providing encouragement, support and incentives to members. We will also work with accredited landlords and publicly recognise that they are willing to achieve and adhere to good property standards. To become a member of the Scheme, you will need to provide the following : A completed and signed application form; A list of all private rented properties owned by you within all the local authority areas listed above; A copy of current Gas Safety Certificate(s) for properties listed. Payment of a fee of 60 for two years membership and Attend a half day Landlord Development seminar within the membership period. You can pay the 60 fee either by enclosing a cheque made payable to Stoke-on-Trent City Council or you can contact our call centre on (01782) 232087 where a payment can be made with the following cards: MasterCard, Solo, Switch / Maestro, Visa Credit, Visa Debit, Visa Electron. If you wish to pay by cash you can visit one of the One Stop Shops, to fid your nearest shop either contact the call centre on (01782) 232087 or visit the website www.stoke.gov.uk Please contact the Landlord Accreditation Team at Stoke-on-Trent City Council on (01782) 232271 if you need any help or information about becoming an accredited landlord. I look forward to receiving your application in the near future. Yours sincerely Rob Wheeler Landlord Accreditation Co-ordinator On behalf of the Landlord Accreditation Scheme: North and Central Staffordshire e: mail@landlordaccreditation.co.uk w: landlordaccreditation.co.uk

BENEFITS TO BECOMING AN ACCREDITED LANDLORD The Scheme Operators are constantly looking at improving the benefits provided to members. A summary of these is listed below. Landlord Development Seminar We have developed a half day landlord development seminar that landlords need to attend to become accredited. This seminar covers a number of useful topics including housing legislation, tenancy management and antisocial behaviour. Landlord Grants Each local authority may have its own Grant policy for properties located within its area. However, accredited landlords will usually get priority access to any grant funding available. Examples of what may be available is listed below (other terms and conditions may apply) Stoke-on-Trent City Council up to 2000 grant towards the cost of energy efficiency, security, fire safety works, decent homes standard. This is 50% match funded by the landlord. Newcastle-under-Lyme Borough Council up to 2000 grant towards the cost of energy efficiency, security, fire safety works, decent homes standard. This is 50% match funded by the landlord. Stafford Borough Council up to 50% of the cost of works to bring properties up to our decent homes standards. The maximum grant is 2000. Staffordshire Moorlands District Council up to 2000 grant towards the cost of energy efficiency, security, fire safety works, decent homes standard. This is 50% match funded by the landlord. Free advertising of vacant properties on the website and with Stoke Housing Allocations Team. The Scheme s website at: landlordaccreditation.co.uk includes a page specifically for landlords to advertise their vacant properties. Accredited Landlords have their own Username and Passwords to allow them to manage the availability of their properties on the Property Shop page. Stoke-on-Trent City Council s Allocations Team will work with Accredited Landlords to advertise their properties for free. Regular Landlord Updates An update is sent to all members at least twice a year. This provides information on any changes to legislation, any new services or incentives that have been developed, details of any future training events, announcements of any meetings. Participating Companies Discounts are available from several local companies on their goods and services. These rates are on offer for landlords who are members of the Landlord Accreditation Scheme North and Central Staffordshire. Participating companies include electrical contractors, plumbers, window companies, damp proofing companies etc. Empty Property Matching Scheme We work in partnership with the Empty Homes Team of Stoke-on-Trent City Council to match the owners of empty properties wanting to sell their houses to accredited landlords who may be interested in buying and renovating these properties. Rent Deposit / Guarantee Schemes All of the participating local authorities have either a Rent Deposit or Rent Guarantee Scheme. These either provide a cash deposit or a written deposit guarantee to landlords who are willing to accept someone in housing need. Further details are available on the website or by contacting the relevant local authority. Training and Professional Development Courses for Accredited Landlords Some of the courses we have previously provided: Housing Act 2004 Housing Benefits Guidance for Landlords Information on the Fire Safety Regulatory Reform Order Legal Eviction of tenants Tenancy Deposit Protection Local Housing Allowance (future information events to be arranged) HMO Fire Safety Risk Assessments Effective Tenancy Management Recognition that you are a landlord providing a good standard of accommodation. Improved access to other local authority departments and services, for instance, Housing Benefits. Co-operation, support and advice from the Scheme Operators on private renting. Provision of a certificate to help promote and provide proof of your membership of the Scheme. Last Updated April 2011

Nor th Landlord Accreditation and PRIVATE RENTED SECTOR Central Scheme Staffordshire Office Ref: Landlord Accreditation Scheme North and Central Staffordshire APPLICATION FORM FOR MEMBERSHIP PLEASE COMPLETE ALL RELEVANT SECTIONS IN CAPITAL LETTERS AND USING BLACK OR BLUE INK. PLEASE TICK THE RELEVANT BOX WHEN NECESSARY. This form can be completed for joint or single membership: Single Membership: A single named landlord on the membership. To be applied for when only a single person owns the properties listed. Joint Membership More than one name on the membership. To be applied for when more than one person owns the properties listed. Type of Membership being applied for: Single / Joint LANDLORD DETAILS (Primary) Title:... Surname:... First Names:... Business Name:... Address (inc postcode):...... Telephone No.... Mobile. No.... Fax No... Email:... If you are applying for a joint membership, please list the names of all the other persons to be included on the membership, who jointly own the properties listed on the property portfolio. Where a Joint Membership is applied for all future information and contact will be made using the Landlord Details given above unless otherwise stated on page 2. JOINT OWNER DETAILS (1) Title:... Surname:... First Names:... Address (inc postcode):...... JOINT OWNER DETAILS (2) Title:... Surname:... First Names:... Address (inc postcode):...... JOINT OWNER DETAILS (3) Title:... Surname:... First Names:... Address (inc postcode):......

DETAILS OF ANY MANAGING AGENT Company Name:... Specific Contact Name:... Address (inc postcode):................. Telephone No. Fax No. Mobile. No. Email: Are you a member of a Landlord Association? Yes / No If yes, which one:.......... WHO SHALL WE CONTACT? If we receive a complaint about one of your properties or if we need to gain access to inspect a property, who is the most suitable person to contact? Landlord (Primary) c Joint Owner 1 / 2 or 3 c Managing Agent c The Scheme Operators will from time to time send updates to its members. These may include information on changes to legislation, any training events that are being provided, details of new services and initiatives e.g. grant availability. Who would you like this information to be sent to? Landlord (Primary) c Joint Owner 1 / 2 or 3 c Managing Agent c How would you like these updates to be provided? By Post c By Email c PROPERTY REGISTER - Important information Please complete the following details about all of the property(ies) you let that are located in any of the participating local authority areas: Stoke-on-Trent, Newcastle-under-Lyme, Stafford and Staffordshire Moorlands. If necessary, photocopy page 3 and attach the additional list to this form. Please remember to update the Scheme Operators with changes to your property register. Gas Safety Certificates photocopies of all current certificates must be included with the application form or we can not process your application. Some Guidance Notes:Below are some short definitions, if you are unsure about the various types of accommodation and how to classify your properties, please contact us. What is a HMO? HMO stands for House in Multiple Occupation, which means a building, or part of a building, such as a flat, that is occupied by more than one household and where more than one household shares or lacks an amenity, such as a bathroom, toilet or cooking facilities is occupied by more than one household and which is a converted building but not entirely self-contained flats (whether or not some amenities are shared or lacking) is converted self contained flats, but does not meet as a minimum standard the requirements of the 1991 Building Regulation, and at least one third of the flats are occupied under short tenancies. The building is occupied by more than one household: as their only or main residence as a refuge for people escaping domestic violence by students during term time for other purposes prescribed by the government. A household is: members of the same family (including relatives, couples and same sex couples) other relationships, such as fostering, carers and domestic staff. Please contact us for further guidance on determining whether your property is an HMO

PROPERTY DETAILS: PROPERTY DETAILS: PROPERTY DETAILS: PROPERTY DETAILS: PROPERTY DETAILS: * Enclose Gas Certificate

DECLARATION PLEASE READ, SIGN AND DATE THE FOLLOWING DECLARATION. I / We... (Print Full Name / Names if applying for joint membership) as owner(s) of private rented properties let within the boundaries of Stoke-on-Trent, Newcastle-under-Lyme, Stafford and Staffordshire Moorlands hereby declare to the best of my knowledge that the following statements are true. I have not had a conviction for illegal eviction or harassment of tenants in the last seven years. I have not had a conviction for violence towards any persons in the last seven years. I have not had a conviction for mortgage, Housing Benefit or Council Tax fraud or breach of grant conditions within the last three years. I have not intentionally failed to comply with any statutory notice either for an individual dwelling or House in Multiple Occupation in the last three years, and works in default relating to such notices have only been completed through prior agreement with the relevant Council. I have not knowingly failed to comply with the requirements of the Furniture and Furnishings (Fire) (Safety) Regulations 1988 in the last three years. I have not had a conviction for non-compliance with a Planning Enforcement Notice relating to residential property within the last three years. I do not have any other convictions that may make me unsuitable as an applicant to the Scheme. I am not aware that any of the managing agent detailed on the application has failed to comply with the above criteria. (Applicable/Not applicable). I understand that if a false statement is made about any of the above, membership of the Landlord Accreditation Scheme North and Central Staffordshire may be refused or withdrawn by the Scheme Operators. I recognise the authority of the Scheme Operators (Stoke-on-Trent City Council, Newcastle-under-Lyme Borough Council, Stafford Borough Council, Staffordshire Moorlands District Council and the North Staffordshire Landlords Association) through the Landlord Accreditation Scheme Steering Group and give permission for appropriate records to be checked to confirm the statements made above. I acknowledge the Scheme Operators rights over the use of Accreditation Logo and for my part authorise the public disclosure of my membership of the scheme as an individual, but reserve the right to provide written authorisation for the release of any other information I may supply to the Scheme Operators. Note. All members of the Scheme will be included on a published list, on the Scheme website, which will include the main landlords name, joint owners names and business name and Landlord Accreditation Scheme number, no contact details will be listed. I declare that to the best of my knowledge the information provided on this form is full and correct. I declare that I have read and understood the documentation provided in the application pack, and agree to abide by the Terms and Conditions of the Landlord Accreditation Scheme North and Central Staffordshire. If I should contravene any of the conditions of membership, I understand that I can be suspended or removed from the Landlord Accreditation Scheme North and Central Staffordshire. Signed :... Dated :... Where applying for joint membership, the above statements apply to all joint owners who must sign the declaration. WHAT METHOD HAVE YOU CHOSEN TO PAY THE FEE? Cheque enclosed c Card payment over the phone c Cash at a One Stop Shop c Ref No... HOW DID YOU FIND OUT ABOUT THE SCHEME? Website c At a meeting c Recommended to me c Sent or given leaflet c Other... REMEMBER to enclose photocopies of all current gas safety certificates with your application form, plus any other relevant documentation. Please return the completed and signed application form to: Housing Standards Team, Stoke-on-Trent City Council, Floor 1, Civic Centre, Glebe Street, Stoke-on-Trent ST4 1HH

Application form PRINT v2_layout 1 30/04/2014 12:15 Page 1 da a Information and Application pack If you are unaware of your duties please see the leaflet Landlords: A guide to landlords duties: Gas Safety (Installation and Use) Regulations 1998. This is available on the Health and Safety Executive website www.hse.gov.uk/pubns/gasindex Or if you would like a hard copy, please call the Accreditation Team on 01782 232271 Updated April 2014 ire sh th nd WE WILL NOT PROCESS ANY APPLICATIONS WITHOUT THESE CERTIFICATES stoke.gov.uk PRIVATE RENTED SECTOR o rd Nor If so, you need to tick the box against gas installation and include a copy of the gas safety certificate with your application form. S e me La nd lor Are there any gas fittings and flues to any of the properties listed in the property register section? c c r e d i t at i o n ch GAS SAFETY CERTIFICATES Centr al Staff