starred * questions are mandatory

Housing Application Amendment

This form should not be used for change of address.

If your address has changed since you last applied, you will need to complete the housing assesment form and submit a new housing application.


It is your responsibility to make sure your application is completed properly and to inform the Council of any changes in your circumstances. To help us assist you within 3 offers you need to provide accurate details about your needs and requirements.

The information that you submit will be forwarded to the Housing Application team for consideration.

Alternatively, you can contact Dudley Council Plus on 0300 555 2345 to advise or call in person at Dudley Council Plus, Castle Street to make amendments.


Personal details

Date of birth *
Date of birth

Address details

Address in Dudley? Type in postcode and click Find Address.
Outside Borough? 
Please enter full address below.
Help IconPlease enter details manually if address lies outside the Dudley borough.

Additional applicant

Would you like to add an additional applicant? *
Would you like to add an additional applicant?

Data Protection Statement

The information you provide on this form is subject to the provision of the Data Protection Act 1998. The information will be held confidentially and will be retained for the purposes of processing your amendments and meeting our statutory obligations.

Please refer to our Privacy & Disclaimer Statement below for our Information Charter and general information on our approach to security, confidentiality, data collection, etc.

Further data protection information can be obtained from the Information Commissioner's website at
eForms by AchieveForms
© Crown copyright and database rights 2013 100019566
© Local Government Information House Limited copyright and database rights 2013 LA100019566
Use of this data is subject to terms and conditions