Homeless decision review form

Fill in this form if you want us to review a decision we have made about your homeless application. You must request a review within 21 days of when we told you about our decision. Review requests submitted outside of this timescale will not normally be considered.

An officer who is senior to and independent from the officer who made the original decision will review your case. The Council has 56 days to complete your review; more details will be provided to you on acceptance of the review. If you have completed a housing application form and want to review the decision made on your application, you must submit a Housing Needs Review Form

The information you give in this form is confidential and subject to the requirements of the Data Protection Act 1998. This personal data will be held and processed by Birmingham City Council to help assess your needs and, in particular, the provision of services for which you may be eligible. The personal details you give may also be shared with certain external agencies that help assess and/or give services, as part of any statutory duties requiring such disclosure and to protect the public funds it collects and administers. Any data may be used to prevent fraud or the misuse of resources. You may ask for a copy of your personal information by writing to the Corporate Information Management Team, PO BOX 16366, Birmingham, B2 2YY.

We are committed to preventing and detecting all fraud. It is an offence under the Forgery and Counterfeiting Act 1981 to hold or present false documents such as birth certificates, passports, bank statements and so on, with a view to obtaining goods or services such as temporary accommodation or permanent housing from Birmingham City Council. If we detect fraud, we will take legal action against you.

In submitting this form you are signing this agreement electronically. This is the legal equivalent of a manual signature.