This form is for when at least one adult is staying at the property. If everyone in the household is moving out, please use our moving home forms
*If you are the person leaving the property you should ask the remaining adult to apply for the Single Person Discount themselves.
The person who is leaving
If not known please enter 'n/a'
Please give the names of all adults (those aged 18 and over) who will still be living at the address.