Representative form

This consent form is to enable a Network Homes or a third party to speak, act or request data on your behalf. It will be kept on your housing file for 6 years post your tenancy/lease with us. For more information on how we process your data please view Network Homes privacy statement on our website.  


Your details
Please include your full name as it appears on your tenancy/lease.
Please tell us your last action with with Network Homes. E.g. Reporting a repair, making an enquiry, last rent payment, etc.
Representative details


By clicking submit I confirm:

  • The named representative (if third party) knows of this form and my sharing this data with you. They understand that these details will be stored on Network’s system to enable this sharing. 

  • I understand this consent will expire 1 year (Network Homes) or three years (Third Party) from today's date. After which new consent will need to be provided if I wish to continue with the arrangements specified above. 

  • I am aware my consent will be stored on Network's third party system called One Trust and that I can withdraw my consent at any time through my One Trust Preference Centre or by informing Network Homes of my wish to do so.