New England and Western Tenants Advice and Advocacy Service
Please use this form to refer your clients to NEWTAAS for advice about their tenancy matter.
Email *
Name of worker referring (first name, last name) *
Organisation *
Your contact details including telephone number and address *
Do you have permission from the tenant to give us their details? *
Required
Does the tenant want us to discuss their matter with you? *
Will you be attending any appointments with the tenant (we are able to conference you into a phone appointment)
Clear selection
Tenant's first and last name *
Tenant's telephone number. Note that we will call the tenant from a private number. *
Tenant's date of birth *
MM
/
DD
/
YYYY
Tenant's email address
Tenant's current address *
Address of the tenancy where the problem is. If it the same as current address, please type "as above" *
Does the tenant identify as Aboriginal or Torres Strait Islander? *
Does the tenant have a disability? *
Required
Please identify the disability, so we can assess how much assistance they may need.
Name and contact details of the landlord or real estate agent. We will not contact them unless we agree to represent the tenant but we do need to know who they are to give advice. *
Rent payable at the tenancy? *
Household type? *
Income type *
What does the tenant need advice about? *
Required
Please give us a brief description of the problem *
We will contact the tenant directly to provide them with advice.
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