Customer Information


Your Homes Newcastle wants to make sure all its services take account of the different needs of all tenants and leaseholders. To help us do this, please fill in this form and click the submit button.
* Please fill in the full name (first name, middles name and surname) of the registered tenant only. If it is a joint tenancy fill in a seperate form for each tenant.
 
     
 
 
 
 
 
Ethnic Origin - Which of these groups do you belong to? (Please tick):
 
Any other white background, please specify:
 
Any other mixed background, please specify:
 
Any other Asian background, please specify:
 
Any other Black background, please specify:
 
Other ethnic group, please specify:
What is your first language? (Please tick one box only):
Other, please specify:
What is the best way for us to communicate with you? (Please tick all that apply to you)
Writing to you:
Speaking to you:
Other, please specify:
* Please note if you tick you need translation or interpretation, we will arrange this in your first language - See the language section above.
Religion:
We may be able to improve services by taking account of religious holidays etc.
If you want to tell us your religion, please tick the appropriate box below:
Any other religion at all, please specify:
Disability:
Other, please specify:
The information on this form will be added to the information we hold about you on our computer system and will be used to make sure the services we provide are suitable for all customers. By sending this form you agree to this.