Download the letter below.
Change the parts in red.
If you don't have a permanent address, enter the address of the place you're currently staying or a 'care of address' if there is someone who can take mail for you.
Include your telephone number so the council can contact you by phone.
You can look up the address of your council's housing department at Gov.uk - Find your local council.
Write some short information about why you are homeless (or why you are likely to become homeless within the next two months) Include details of anyone else in your household and mention if any of you have health problems or special circumstances.
If you need help contact an adviser.
Last updated: 8 October 2020