MUTUAL EXCHANGE APPLICATION FORM 

How did you find the property you wish to move to?
Homeswapper
	  	Exchange Locata	  	Local Newspaper	  	Other	  	

How many parties are involved?

2 Way Swap
	  	3 Way Swap	  	4 Way Swap 	  	5 Way Swap	  	

Outgoing Tenant’s Information 
Tenant’s Name 

Address
		
National Insurance Number	 	

Date of Birth 	

Mobile Number 		

Email Address		

Joint Tenant’s Name (if applicable)		
National Insurance Number		

Date of Birth	

Mobile Number 		
Landlord Name

Type & Size of Present Home (e.g. 3 Bed House) 		
Has the property had any adaptations? (e.g. level access shower, stair lift etc.)		
Have you made any alterations to the property including electrics?	Please provide details	
Do you receive 
Housing Benefit or Universal Credit? 	Please state which and the date you receive payment of your universal credit?  	
Is your rent account up to date?		
What is your current tenancy type (e.g. Secure, Fixed etc.)  		
Are you or anyone moving with you pregnant?  	Yes
No 	
Current Tenancy Start Date		
Do you have any pets? What kind? 		
Are you looking to?	Up-Size 
Down-Size 	

Other members of your household 
Surname 	First Name	Relationship	Date of Birth 	NI Number 	

					

					

Incoming Exchange Tenant’s Information 
Tenant’s Name 

Address

Date of Birth 	
	
National Insurance Number		

Mobile Number 		

Email Address		

Joint Tenant’s Name (if applicable)

Date of Birth	
	
National Insurance Number		

Mobile Number 		
Landlord Name

Type & Size of Present Home (e.g. 3 Bed House) 		
Has the property had any adaptations? (e.g. level access shower, stair lift etc.)		
Have you made any alterations to the property including electrics?	Please provide details

	
Do you receive 
Housing Benefit
or Universal Credit? 	 Please state which and the date you receive payment of your universal credit?  	
Is your rent account up to date?
		
What is your current tenancy type (e.g. Secure, Flexible etc.)  		
Are you or anyone moving with you pregnant?  	Yes
No	
Current Tenancy Start Date		
Are you looking to?	Up-Size 
Down-Size 	
Do you have pets? What kind? 		

Other members of exchange tenant’s household 
Surname 	First Name	Relationship	Date of Birth 	NI Number 	

					

					

Exchange tenant’s landlord information 
Landlord 		
Address		
Telephone No 		
Email 		
Contact 		

Important – Please read before signing

Before you apply for permission to exchange, carefully inspect the property you wish to exchange to.  Ask if any fixtures and fittings are to be removed, make sure the property is going to be suitable for your requirements.  Only once completely satisfied with the details of the exchange should you fill out this request form and return it to Cambridge City Council.  Please include anything that you feel may support your application when sending in this request form.

No mutual exchange can be carried out without the written consent of the Council. You should not begin arranging moving dates, packing for removals, changing schools etc. prior to consent being given in writing and a date of exchange provided. 

Please note, if unauthorised alterations have been made to the property the Council will serve Notice of Seeking Possession (92) and ask that the property is returned to its original state for the exchange to proceed. All authorised alterations will become the responsibility of the incoming tenant and this includes any obligations associated with the authorisation.  

By signing this form you agree to provide proof for all members of your household and that each adult, over 18 will be asked for photo identification and that the information you have provided may be verified with partners and other agencies before an exchange is permitted to help detect and prevent fraud.  By signing you are declaring that all the information you have provided is true and correct to the best of your knowledge and that you have not withheld any information that may be relevant to your application. I understand that if I knowingly give false or misleading information I may lose my right to carry out a mutual exchange.  I agreed that Cambridge City Council can seek information from current or previous landlords about me. 
You are also declaring that you will advise Cambridge City Council of any change in circumstances that may affect your application. 

I have inspected………………………………………………………………………(Address) and I am satisfied as to the standard of repair and decoration and any tenant alterations for which I will become responsible.

I accept that the Council will only carry out those repairs which are their responsibility and that I may be charged for repairs which are the result of damage or alteration by the previous tenant or fall outside the Council’s responsibility. 

I understand that by applying for a Mutual Exchange Cambridge City Council may be asked to give a reference about any tenancy I have held with them.  I am aware that the reference would include details of rent payments and any breaches of the tenancy agreement, including anti-social behaviour and any Notices that have been served throughout the duration of the tenancy. I agree that Cambridge City Council can share such information with other social landlords for this purpose.

Tenant’s Name 		
Signature 
		
Joint Tenant’s Name 
(if applicable) 		Signature 		
Date 		

Exchange Tenant’s Name		
Signature 		
Exchange Joint Tenant’s Name (if applicable)		Signature 		
Date 		

Please note: the Council seeks to move all Tenants over the weekend. Therefore if your application is agreed your gas supply will be capped off on the Friday afternoon before you move and then reinstated on the Monday morning.

Please return the completed forms to Cambridge City Council, if you have any questions please feel free to contact us on 01223 457070. 

Please ensure that all fields have been filled in as any forms that are incomplete will be returned to the sender. 
Our decision will be confirmed in writing within 42 days. 

DECISION – FOR OFFICE USE ONLY
Agreed .........................................................................................................................
Agreed conditionally with reasons ...............................................................................
………………………………………………………………………………………………….
…………………………………………………………………………………………………
Refused with reasons ................................................................................................. 
…………………………………………………………………………………………………
…………………………………………………………………………………………………
Authorised .......................................................................
Job Title………………………………………………………
Date .................................................................................

Mutual Exchange Checklist

Whilst you may be excited about your potential move, think carefully about whether the property you are moving into is suitable. 

The checklist below is designed for YOU to tick the right-hand box to confirm you are happy with each room and gives a few warnings for things to look out for, although this is not an exhaustive list. 

It is also recommended that you visit the property the day of your move – before signing any paperwork – to ensure the condition of the property hasn’t changed since your last visit. 

SAFETY/SECURITY

Are you happy with the security of the front and back doors at the property? Do they let in draughts? Is the previous tenant surrendering all their keys to you or are you carrying out a long change? Do windows have restrictors fitted, especially if you have young children? Does the property have secure fencing?		

LIVING ROOM/DINING ROOM

Any carpets left in the property could harbour pests (especially if the previous tenant had pets). The Council would not be responsible for arranging treatment. 	   	

KITCHEN

Are your appliances the correct size to fit in? Are there the correct points to connect your gas/electric cooker? Any loose hinges on cupboard doors? The Council would not make these alterations for you. 		

BATHROOM 

Does it meet your mobility needs? Are you happy with the cleanliness? The Council and Occupational Therapy will not consider making adaptations to a property you have knowingly moved in to. 

BEDROOM(S)

Are any alterations the previous tenant has made to light switches/fittings safe? Are there internal doors fitted correctly? The Council will not maintain alterations or fit internal doors anywhere in the property.		

STAIRS/HALLWAY

Can you manage the amount of steps and are the stairs safe? Look out for carpets/photos on the wall hiding any potential damage behind them. The Council does not decorate.  		

GARDEN

Is the garden overgrown? Is the fencing damaged? Has animal faeces been left outside? Are any items dumped in the garden? The Council does not maintain gardens or remove items left behind by the previous tenant. 

SHEDS/OUTBUILDINGS

Has the previous tenant removed any items from outbuildings and given you keys? The Council does not remove items left or carry out lock changes. This applies across the entire property, including the loft. 

EXPENSES

Have you considered all the costs of the move – such as removals and any decorating? Do you know how much the rent is, and will Housing Benefit/Universal Credit cover the full cost of this or will you be expected to pay? Is Council Tax, water, electricity or gas going to be more expensive? 

I sign to confirm that I have visited the property that I intend to move into and I have completed the above checklist to my satisfaction. Therefore I am happy to proceed with the move and I am aware that if I experience any issues these shall be my responsibility to resolve. 

Signed ………………………………… 

Print ………………………………..….

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