By completing and submitting this form, you are agreeing to our Privacy statements. Please use the below form to request permission to take in a lodger. We can only accept this request from either a tenant or joint tenant. For requests to add someone who is over the age of 18 please ensure you have read through the Right to Rent checklist. Please ensure all sections of the form are completed and all documentation required is uploaded before submitting the form, in order for us to process your request. Your Full Name Your Address Your Address Address 2 City/Town Postal Code Your Contact Number Your Email Address About the Lodger Full Name of Intended Lodger Intended date the lodger will be moving in Date of Birth Gender Man Woman Genderqueer / Non-Binary Prefer not to disclose Please Give Further Information About the Proposed Lodgers Accommodation Proposed Charge for Lodger (per week / month) Privacy statement Please confirm you have read the Sanctuary privacy statements I confirm I have read the Sanctuary privacy statements Leave this field blank