Rent, water and other charges

Request a rent assessment form - public housing

Housing SA will use this information to send you a form. You will need to complete the form and provide proof of income for everyone in the household aged 21 years or older. Completed forms can be lodged by post or at any Housing SA office.

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(if different from above)
Reason * Please indicate your reason(s) for requesting the form, providing more information in the box below.

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Page last updated 30 November 2016

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Department for Communities and Social Inclusion
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