Application to change a licence for a house in multiple occupation from South Staffordshire Council

Step 2 of 4 Submit the application

Email address Please provide your email address, so the licensing authority can let you know if your application has been successful or not.

Application form Please attach the completed application form below.


Declaration
  • I/we declare that the information contained in this application is correct to the best of my/our knowledge. I/we understand that I/we commit an offence if I/we supply any information to a local housing authority in connection with any of their functions under any of Parts 1 to 4 of the Housing Act 2004 that is false or misleading and which I/we know is false or misleading or am/are reckless as to whether it is false or misleading.
  • I/We declare that I/We have served a notice of this application on the persons detailed in Table 1 of this application who are the only persons known to me/us that are required to be informed that I/we have made this application.

By continuing, you're giving the Cabinet Office permission to pass the information you're supplying to the relevant authority.

For more details on how your information is used please refer to the Government Digital Service privacy notice and South Staffordshire Council.