Application to license a house in multiple occupation from Basingstoke and Deane Borough 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.

Email address Confirm email address

Application form

Please attach the completed application form below.

Application form

Supporting documents

All documents are required, unless stated otherwise. Photos of documents are acceptable, as long as all the relevant information is clear. We'll only share these documents with the licensing authority.

Maximum size allowed per file is 10 MB.

We only allow the following file types : doc, docx, gif, jpeg, jpg, pdf, png, ppt, pptx, rtf, txt, xls, xlsx

What if I can't submit all of these documents?

You don't have to submit optional documents, but it may improve your chances of a successful application if you do.

A floor plan of the buildings you are intending to license
Plan must show the room sizes, location of fire precaution equipment and fire alarms.

A current gas safety certificate
Applicants must provide a copy of the current and up to date GASSAFE certificate for the property that is dated within the last 12 months

Copy of the current fire and smoke detection/alarm test certificate for the property
Applicants must provide a copy of the current Fire and Smoke detection/Alarm test certificate for the property.

Copy of the current electrical installation inspection report for the property
Applicants must provide a copy of the current Electrical Inspection report for the property carried out by a competent person. This should be dated within the last 5 years.

Fire safety risk assessment (optional)
This will be passed to the Fire Service for approval and used to help us prioritise inspections

Fit and proper person assessment (optional)
A statutory declaration must be completed and endorsed by a solicitor and submitted with this form.

Copy of the current fire fighting equipment test certificate (optional)
Applicants must provide a copy of the annual test certificate for any fire fighting equipment within the property.

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 section 18 of this application, who are the only persons known to me/us that are required to be informed that I/we have made this declaration.
The following additional declarations also apply if (and only if) you have indicated in section 2 of this application that this is a renewal application: I/We declare that the house in respect of which a licence is sought under Part2/Part 3 of the Housing Act 2004 is subject to a licence under that part at the time this application is made. I/We further declare that to the best of my/our knowledge either: (a) none of the information described in paragraph 2(c) to (g) of that Act and previously submitted to the authority has materially changed since that licence was granted; OR (b) the only material changes to that information are described in the preceding sections of this application.
Basingstoke and Deane Borough Council is the data controller for the personal information you provide on this form. You can contact the council by phone on 01256 844844, via email at customer.service@basingstoke.gov.uk or by writing to us at Civic Offices, London Road, Basingstoke RG21 4AH. The council’s Data Protection Officer can be contacted at dpo@basingstoke.gov.uk. The personal information you provide will be used process your HMO licence. It is necessary for you to provide this information to us so that we can process your application/provide the service you have requested.
We may share your information with other teams within the Council in order to provide a service to you, to ensure our records are kept up to date or otherwise where we are required to do so. We may share your information with Hampshire Fire and Rescue Service to help ensure that fire safety requirements are met. We will not disclose any information to other organisations unless we are required by law to do so or to prevent fraud or criminal activity. These other organisations may include the Police, Home Office departments and/or UK Revenue and Customs.
I understand that the information provided will form the HMO Register held by Basingstoke and Deane Borough Council as prescribed by both the Housing Act 2004 and the Licensing and Management of Houses in Multiple Occupancy and Other Houses Regulations of 2006.
I also understand that the council will process all the personal information in accordance with the General Data Protection Regulations and any other relevant data protection legislation . Your personal details will only be held as long as is needed for this purpose and in accordance with our retention policy
For further details on how your information is used; how we maintain the security of your information and your rights, including how to access information we hold on you and how to complain if you have any concerns about how your personal details are processed, please visit www.basingstoke.gov.uk or email dpo@basingstoke.gov.uk
I understand that the licence will not provide the licence holder with permission for any other purpose including for planning and building regulation purposes. Any other necessary consent must be obtained from the appropriate authority. In particular Planning and Building Regulation Approval may be required and you are advised to contact Planning Control and Building Control Services and/or seek your own independent legal advice.

Ticking this box indicates you have read and understood the above declaration

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 (opens in new tab) and Basingstoke and Deane Borough Council.