1.The name and address of the applicant.
2.The date of birth of the applicant.
3.Whether the applicant is disabled or infirm.
4.Whether the applicant or his partner is in receipt of...
5.Whether the works are to adapt a dwelling to enable...
6.The address of the property to which the application relates....
7.Whether the property is a renewal area.
8.Whether the property is a dwelling, a house-boat or a...
9.Whether the applicant lives in the property as his only...
10.Whether the applicant— (a) has an owner’s interest in the...
11.Where the applicant is a tenant, confirmation that the applicant...
12.Where the applicant occupies the dwelling under a right specified...
13.A description of the works.
14.Whether the works relate to means of escape from fire...
15.Confirmation that the applicant has a duty or power to...
16.The name and address of the person who will carry...
17.An estimate of the cost to the applicant of the...
18.Confirmation that the works are not, so far as the...
19.Details of the amount or value of any home repair...
20.The signature of the applicant or his agent.
