Formal Application Form

City West Housing’s new development Tallowwood Apartments in Rockdale, is due to be completed in August 2026.

To apply for this property, please complete this formal application. Please include additional occupants’ section for all household occupant/s over the age of 18 (found at the end of this form). You must also supply supporting documentation for yourself and each household occupant to support your answers. Please gather your documents prior to beginning the form, as you will not be able to submit your application without the required evidence nor will you be able to save your progress and return to the form later.

Please refer to the Evidence Guide if you have any questions regarding the types of evidence required for each section.

If you have any questions or need assistance completing this form, please contact the Allocations Team via email at baysideapplications@citywesthousing.com.au or by phone 02 8584 7500.

Original Application Date

Status

Income Band

Bedroom Need

Adults

Children

Viewing 1 Date

Viewing 1 Address

Viewing 1 Outcome

Viewing 2 Date

Viewing 2 Address

Viewing 2 Outcome

Personal Details - Main Tenant

Title *

First Name *

Middle Name

Surname *

Date of Birth *

Age

Gender *

Nationality *

Country of Birth *

Main Language Spoken At Home *

Please upload first form of identification (licence, passport, birth certificate, etc) *

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Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

Please upload second form of identification (licence, passport, birth certificate, etc) *

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Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

To be eligible, the main applicant needs to be an Australian Citizen or Permanent Resident. What is your residency status? *

Australian CitizenNZ Protected SCV HolderPermanent Resident

Visa sub-class (for permanent resident) *

Date of arrival (for permanent resident) *

Please upload proof of residency status (Australian birth certificate, Australian visa, Australian passport etc) *

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Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

Do you require an interpreter? *

YesNo

Do you identify as Aboriginal / Torres Strait Islander? *

YesNoPrefer not to say

Do you belong to any of the following groups? (tick all that apply) *

Previously experienced homelessnessCurrently at risk of homelessnessPreviously experienced/currently experiencing domestic & family violencePreviously resided in social housingVeteranNone

Contact Details - Main Tenant

Street Address *

Address Line 2

Suburb *

State *

Postcode *

Mobile Phone *Please enter number with no spaces

Home PhonePlease enter number with no spaces or state code

Email Address *

Current Housing Situation - Main Tenant

Rent you pay *

Rent Frequency *

Please upload proof of your current housing situation. Examples of this include, but are not limited to: a copy of your lease, a statutory declaration from the lease holder, etc. Please refer to the Evidence Guide for more examples of evidence. *

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Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

Housing Need - Main Tenant

Are you or any occupants included in this application experiencing any of the following in your current accommodations? (tick all that apply) *

Please provide details *

Please upload proof of your housing need. Examples of this include, but are not limited to: a report from a Government agency, a medical report, a statutory declaration, etc. Please refer to the Evidence Guide for more examples of evidence. *

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Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

Employment Information - Main Tenant

Name of Employer (list each on a new line, if more than one) *

Position Held (list each on a new line, if more than one) *

Employer's Address (list each on a new line, if more than one) *

ABN (if self employed)

Please upload your most recent tax return *

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Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

Centrelink Income Information - Main Tenant

Do you receive payments from Centrelink? *

YesNo

Please upload your most recent Centrelink statement *

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Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

Other Income / Assets Information - Main Tenant

Do you have any other sources of income? *

YesNo

Other income you are in receipt of *

Total received from other sources *

Frequency *

WeeklyFortnightlyMonthly

Please upload supporting documents regarding any other sources of income *

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Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

Total cash or assets *

Emergency Contact Details - Main Tenant

Your emergency contact must not be an additional occupant on this application

Full Name *

Relationship to you *

Contact Number *Please enter number with no spaces

Additional Occupants - Main Tenant

Do you have additional occupants UNDER 18 years of age? *

YesNo

How many? *

First Name *

Surname *

Date of Birth *

Person is my *

Frequency of care *

Do they identify as Aboriginal / Torres Strait Islander? *

Click 'Add Row' to add additional occupants.

Please upload proof of identity (birth certificate or passport) for each occupant under 18 years of age *

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Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

Do you have additional occupants OVER 18 years of age? *

YesNo

How many? *

Personal Details - Additional Occupant One

Title *

First Name *

Middle Name

Surname *

Date of Birth *

Age *

Gender *

Nationality *

Country of Birth *

Main Language Spoken At Home *

Please upload one form of identification (licence, birth certificate, passport, etc) *

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Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

Relationship to Main Tenant *

Residency Status *

Australian CitizenNZ Protected SCV HolderPermanent Resident

Visa sub-class (for permanent resident) *

Date of Arrival (for permanent resident) *

Do they require an interpreter? *

YesNo

Do they identify as Aboriginal / Torres Strait Islander? *

YesNoPrefer not to say

Contact Details - Additional Occupant One

Address *

Mobile Phone *Please enter number with no spaces

Email Address

Employment Information - Additional Occupant One

Name of Employer (list each on a new line, if more than one) *

Position Held (list each on a new line, if more than one) *

Employer's Address (list each on a new line, if more than one) *

ABN (if self employed)

Please upload your most recent tax return *

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Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

Centrelink Income Information - Additional Occupant One

Do you receive payments from Centrelink? *

YesNo

Please upload your most recent Centrelink statement *

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Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

Other Income / Assets Information - Additional Occupant One

Do they have any other sources of income? *

YesNo

Other income they are in receipt of *

Total received from other sources *

Frequency *

WeeklyFortnightlyMonthly

Please upload supporting documents regarding any other sources of income *

Browse

Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

Total cash or assets *

Personal Details - Additional Occupant Two

Title *

First Name *

Middle Name

Surname *

Date of Birth *

Age *

Gender *

Nationality *

Country of Birth *

Main Language Spoken At Home *

Please upload one form of identification (licence, birth certificate, passport, etc) *

Browse

Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

Relationship to Main Applicant *

Residency Status *

Australian CitizenNZ Protected SCV HolderPermanent Resident

Visa sub-class (for permanent resident) *

Date of Arrival (for permanent resident) *

Do they require an interpreter? *

YesNo

Do they identify as Aboriginal / Torres Strait Islander? *

YesNoPrefer not to say

Contact Details - Additional Occupant Two

Address *

Mobile Phone *Please enter number with no spaces

Email Address

Employment Information - Additional Occupant Two

Name of Employer (list each on a new line, if more than one) *

Position Held (list each on a new line, if more than one) *

Employer's Address (list each on a new line, if more than one) *

ABN (if self employed)

Please upload your most recent tax return *

Browse

Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

Centrelink Income Information - Additional Occupant Two

Do you receive payments from Centrelink? *

YesNo

Please upload your most recent Centrelink statement *

Browse

Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

Other Income / Assets Information - Additional Occupant Two

Do they have any other sources of income? *

YesNo

Other income they are in receipt of *

Total received from other sources *

Frequency *

WeeklyFortnightlyMonthly

Please upload supporting documents regarding any other sources of income *

Browse

Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

Total cash or assets *

Personal Details - Additional Occupant Three

Title *

First Name *

Middle Name

Surname *

Date of Birth *

Age *

Gender *

Nationality *

Country of Birth *

Main Language Spoken At Home *

Please upload one form of identification (licence, birth certificate, passport, etc) *

Browse

Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

Relationship to Main Applicant *

Residency Status *

Australian CitizenNZ Protected SCV HolderPermanent Resident

Visa sub-class (for permanent resident) *

Date of Arrival (for permanent resident) *

Do they require an interpreter? *

YesNo

Do they identify as Aboriginal / Torres Strait Islander? *

YesNoPrefer not to say

Contact Details - Additional Occupant Three

Address *

Mobile Phone *Please enter number with no spaces

Email Address

Employment Information - Additional Occupant Three

Name of Employer (list each on a new line, if more than one) *

Position Held (list each on a new line, if more than one) *

Employer's Address (list each on a new line, if more than one) *

ABN (if self employed)

Please upload your most recent tax return *

Browse

Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

Centrelink Income Information - Additional Occupant Three

Do you receive payments from Centrelink? *

YesNo

Please upload your most recent Centrelink statement *

Browse

Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

Other Income / Assets Information - Additional Occupant Three

Do they have any other sources of income? *

YesNo

Other income they are in receipt of *

Total received from other sources *

Frequency *

WeeklyFortnightlyMonthly

Please upload supporting documents regarding any other sources of income *

Browse

Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

Total cash or assets *

Personal Details - Additional Occupant Four

Title *

First Name *

Middle Name

Surname *

Date of Birth *

Age *

Gender *

Nationality *

Country of Birth *

Main Language Spoken At Home *

Please upload one form of identification (licence, birth certificate, passport, etc) *

Browse

Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

Relationship to Main Applicant *

Residency Status *

Australian CitizenNZ Protected SCV HolderPermanent Resident

Visa sub-class (for permanent resident) *

Date of Arrival (for permanent resident) *

Do they require an interpreter? *

YesNo

Do they identify as Aboriginal / Torres Strait Islander? *

YesNoPrefer not to say

Contact Details - Additional Occupant Four

Address *

Mobile Phone *Please enter number with no spaces

Email Address

Employment Information - Additional Occupant Four

Name of Employer (list each on a new line, if more than one) *

Position Held (list each on a new line, if more than one)

Employer's Address (list each on a new line, if more than one) *

ABN (if self employed)

Please upload your most recent tax return *

Browse

Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

Centrelink Income Information - Additional Occupant Four

Do you receive payments from Centrelink? *

YesNo

Please upload your most recent Centrelink statement *

Browse

Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

Other Income / Assets Information - Additional Occupant Four

Do they have any other sources of income? *

YesNo

Other income they are in receipt of *

Total received from other sources *

Frequency *

WeeklyFortnightlyMonthly

Please upload supporting documents regarding any other sources of income *

Browse

Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

Total cash or assets *

Personal Details - Additional Occupant Five

Title *

First Name *

Middle Name

Surname *

Date of Birth *

Age *

Gender *

Nationality *

Country of Birth *

Main Language Spoken At Home *

Please upload one form of identification (licence, birth certificate, passport, etc) *

Browse

Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

Relationship to Main Applicant *

Residency Status *

Australian CitizenNZ Protected SCV HolderPermanent Resident

Visa sub-class (for permanent resident) *

Date of Arrival (for permanent resident) *

Do they require an interpreter? *

YesNo

Do they identify as Aboriginal / Torres Strait Islander? *

YesNoPrefer not to say

Contact Details - Additional Occupant Five

Address *

Mobile Phone *Please enter number with no spaces

Email Address

Employment Information - Additional Occupant Five

Name of Employer (list each on a new line, if more than one) *

Position Held (list each on a new line, if more than one) *

Employer's Address (list each on a new line, if more than one) *

ABN (if self employed)

Please upload your most recent tax return *

Browse

Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

Centrelink Income Information - Additional Occupant Five

Do you receive payments from Centrelink?

YesNo

Please upload your most recent Centrelink statement *

Browse

Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

Other Income / Assets Information - Additional Occupant Five

Do they have any other sources of income? *

YesNo

Other income you are in receipt of *

Total received from other sources *

Frequency *

WeeklyFortnightlyMonthly

Please upload supporting documents regarding any other sources of income *

Browse

Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

Total cash or assets *

Additional Needs

Do you or anyone in your household have a disability? *

YesNoPrefer not to say

For each selected disability, please indicate which household member(s) it applies to. *

If desired, you can upload documentation to support their disability status below.

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Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

Will you or anyone in your household require modifications to the property (i.e. sensor lights, grab rails, etc)? *

YesNo

What modifications will they require? Please note that if you are approved for CWH, you will be asked to submit a report from an Occupational Therapist to support your claim. *

Do you or anyone in your household have mobility constraints that need to be considered at the time of allocation? Examples of this are having a mobility device, difficulty navigating stairs, etc. *

YesNo

Please provide further details below *

Supporting Documents

Please upload any additional information or documents to support your application.

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Maximum file size: 10MB Allowed document types: jpg, jpeg, png, pdf, docx, heic

Please verify that you are human *