Complete this checklist to ensure you have completed the procedure for processing a transfer application.

Rental Agreement		
		
Rental Balance $		
		
Client Name/s		
		
Phone No’s.		home		mobile	contact		
	
Email		Adults	M 	F 	Deps.	M 	 F 		
		
Debts?	Yes	No		Details		Bal.		Arrears		
	
  Is the transfer provider-initiated? (please tick (ü) appropriate boxes)                             Yes             No  

•	significant maintenance or upgrades	Yes 	No 	
•	demolition or redevelopment	Yes 	No 	
•	resumption by owner	Yes 	No 	
•	under-occupation	Yes 	No 	
•	persistent neighbourhood disputes or harassment	Yes 	No 	
•	health and safety or fire or natural disaster    	Yes 	No 	
•	high demand area to low demand area
	Yes 	No 	
•	exceptional circumstances (please provide details):	Yes 	No 	

If the transfer is provider-initiated, do not check the client’s continued eligibility.

Is the transfer client-initiated? (please tick (ü) appropriate boxes)	Yes 	No 	
•	homelessness or risk of homelessness	Yes 	No 	
•	violence from members of the community or neighbourhood	Yes 	No 	
•	location: access to essential services, employment, cultural obligations,
access to child, family/informal support 	    Yes 	Yes	     No 	
•	design/size does not meet the household’s needs	    Yes 	     No 	
•	formation of new household	    Yes 	No 	
•	rent affordability (affordable housing only)	    Yes 	No 	

 If the transfer is client-initiated, check the client’s continued eligibility for assistance:	
Continued eligibility	
Is the applicant still eligible for housing assistance?  If ‘no’ to any of these, cancel the application.	
Nil property ownership	Yes 	No 	Total liquid assets within limits for household type	Yes 	No 	
QLD residency	Yes 	No 	Australian citizenship or permanent residency	Yes 	No 	
Independent income	Yes 	No 	Household income within limits for household type
evidence (28 days old required for all occupants)	Yes 	No 	
Applicant meets at least one of the ‘appropriateness of current housing’ criteria of: homelessness, location, physical amenity, rent affordability or formation of new household	Yes 	No 	
Any household changes?	Yes  No 	If yes, note details and re-check eligibility and bedroom entitlement	
Details:

		

	

	
	
Actions taken to transfer the client within community housing	
Has the provider:	
•	searched their property portfolio	Yes 	No 	
•	determined no suitable properties are available internally	Yes 	No 	
•	contacted providers in the community housing network regarding vacancies	Yes 	No 	
•	determined no suitable properties are available within community housing.	Yes 	No 	
If the provider has carried out ALL of the above actions and cannot transfer the applicant at this time within community housing, refer the client to the department for consideration for placement on the housing register:	
1.	Contact the client to discuss lodging a Social Housing Transfer Application form with the department.
2.	Send this form with the client’s Social Housing Transfer Application form to the department by fax or email.	

Property details					
Suburb/s		

		
 	Applicant has been advised of consequences of invalid refusal (penalty/ cancellation as relevant)	
Address:					

Property
Number 		Number of stairs	 	Number of bedrooms	 	Property type		
					
Keys ready	Yes 	No 	If no, date expected	/     /	
					
   Fully wheelchair accessible	 5 or more bedrooms	
Inspection					
Keys collected	         /     /	Due back by		am/pm	on	/     /	
					
ID sighted	Yes 	No    or	ID confirmed from file?	Yes 	No 	
					
		Officer signature		
				
Keys returned	        /     /	Officer signature		
					
Offer result					
Accepted	Yes 	No 	If yes, sign up appointment on		at		am/pm	
If refunded reasons					

	

	
					
Application cancelled	Yes 	No