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Department of Environment Food and Agriculture HOUSING (REGISTRATION) REGULATIONS 2013 REGISTRATION APPLICATION- HOUSE IN MULTIPLE OCCUPATION (HMO) Page 1 of 2

Address of HMO:

Name of Owner: ... ... Postal Address: ... ... ... ... ... ... Contact details (tel./ email): ... ... ... HMO FACILITIES IN COMMON USE STOREY AREA(m2)

STOREY AREA(m2) Bathrooms*

Kitchens / Combined Kitchen communal room

Communal rooms (lounge/dining)

Bedroom Room No. Storey Ensuite Y or N Size m2 Max. Occupancy (1 or 2)

Bedroom Room No. Storey

Ensuite Y or N Size m2 Max. Occupancy (1 or 2)

ADDITIONAL INFORMATION / DOCUMENTS Applicants confirmation (√) Planning, Building Control and Fire and rescue service requirements met? (see www.gov.im/hmo)

A scale plan (or plan with accurate measurements for each room clearly indicated) of the premises stating bedroom numbers and use of all areas must be submitted with this application.

Confirmation all installations and equipment in common use (i.e. gas, oil, electrical installations and equipment) are maintained and in a good state of repair. Copies of up to date certificates / records enclosed?

Copy of valid Public Liability insurance certificate for HMO enclosed?

Does your property comply with the HMO Guidance issued by DEFA?

Applicant Declaration I confirm the above information is true to the best of my knowledge and I understand deviating from these arrangements without prior consent by the Department of Environment, Food and Agriculture may be an offence

Signature of applicant:...

Date ...

Print Name: ...

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Department of Environment Food and Agriculture HOUSING (REGISTRATION) REGULATIONS 2013 REGISTRATION APPLICATION- HOUSE IN MULTIPLE OCCUPATION (HMO) Page 2 of 2

PRIOR TO COMPLETING THIS FORM THE APPLICANT SHOULD READ AND FOLLOW THE HMO GUIDANCE AVAILABLE AT www.gov.im/hmo ALONG WITH READING THE HOUSING (REGISTRATION) REGULATIONS 2013 AND HOUSING (STANDARDS) REGULATIONS 2017.

Bedroom sizes Maximum occupancies are determined by reference to the Housing (Standards) Regulations 2013 an extract of which is provided below.

Number of occupants Minimum size bedrooms 1 person 8.5 m2 2 persons 10.5 m2

Bathrooms There must be a minimum of one bathroom for every six occupants, located no more than two floors away from each bedroom. *Ensuite facilities available exclusively for individual tenants must be indicated on this application and floor plans.. Kitchens and other communal rooms There must be provided suitably located kitchens and lounges for the use of all the occupants, no more than two floors away from each bedroom.

Kitchen Communal rooms (Including lounge or dining room) 6 persons 7 m2 11 m2 ** Each additional person

• 0.5 m2
• 1.5 m

** Communal rooms which contain a kitchen must be a minimum of 18 m2

Notes:

The completed application along with all supporting documentation must be submitted to:-

Environmental Health Regulation Directorate Department of Environment Food & Agriculture Thie Slieau Whallian Foxdale Road St. John’s IM4 3AS Telephone:+44 1624 685894

The applicant must pay a fee of £50.00 to the registration authority for each HMO registration application. The registration authority is the Local Authority where the HMO is located. Cheques should be made payable to the Local Authority.

Registration will NOT be approved until the appropriate fee has been paid.