Registration :: inhousing

inhousing is a specialist housing provider predominantly for people living with disability. We offer individual homes, groups of homes and co-tenancies.
Unless you have housing needs requiring specialised features in a property, you are unlikely to be offered tenancy with us. Please only complete the registration and nomination steps if you believe you meet the eligibility criteria.

It is recommended that you also complete the Community Housing Registration of Interest so that you will be considered for housing opportunities that other providers may have.

Personal Details

NDIS Registration Status

Are you registered with the National Disability Insurance Scheme?* Yes No Unsure

Thanks for your interest in registering for housing with us but as we are a provider of Specialist Disability Accommodation we assist people who are NDIS participants. Please see our resources page where you may find a provider more suited to your needs.

NDIS Plan Number*

Your personal details

What is your email address?*

We'll use this to manage your registration and keep you up to date with appointments and news.

What is your first name?*

Your first or christian name as it appears on your birth certificate or medical records.

What is your surname?*

Your family or surname as it appears on your birth certificate or medical records.

What is the street address of your current home?*

What city is this home in?

What state is this home in?

What is the post code?

What is your phone number?*

What is the best number we can contact you on ?

What is your gender?* Male Female

What is your date of birth?* (DD/MM/YYYY)

What is the nature of disability you or a household member lives with?

Choose all that apply

Physical Intellectual Psychosocial Hearing impaired Sight impaired Other (describe)

None

Income and Support

Income Details

What is your source of income?

Choose all that apply

Disability Support Payment Newstart Allowance Family Tax Benefit Age Pension Wages - part time or casual employment Wages - full time employment Carer's Allowance Carer's Payment Other Pension Retired

Accessibility Design Features

What best describes the accessibility design features you need in a home?* High Physical Support - designed to a high level of physical access for people living with significant physical impairment, e.g. uses an electronic wheelchair Fully Accessible - designed to a high level of physical access for people living with significant physical impairment, e.g. uses a manual wheelchair Enhanced access - minor mobility improvements, e.g. a person who is ambulant but may require walking aids Standard Access - but I need specific property features for my sensory or cognitive needs None - no specialised design features required

Source and Level of Support with daily living

Do you receive support with your daily living?* No Freely given by my family or friends A person is paid a Carer's Allowance to live with me and care for me A Personal Support Agency worker Unsure

We will now ask for some details about how much care is provided and by who?

What is the name of the Personal Support Agency or person paid a Carer's allowance to provide you personal support?*

How many hours of funded support are you provided with?

Specialised Disability Accommodation Provision Recognition

Does your National Disability Insurance Scheme plan recognise a need for Specialised Disability Accommodation provision?* Yes No

Do you have a public or community housing rental application lodged?*

Have you completed a registration of interest form with Housing SA or with a Community Housing provider?* Yes No Unsure

What is the registration number of your public or community housing application?

As it appears on the letter of confirmation. If you are not sure, leave it blank.

Guardian or someone acting as Power of Attorney

Is there someone that assists you with your affairs (Guardian/ or someone acting as Power of Attorney)?* Yes No Unknown

Do you grant us permission to contact this person as part of your housing assessment?* Yes No

What is the full name of this contact?*

What is your relationship with this person? They are* Government Agency My Parent My Child A Friend Public Trustee Lawyer Other

What is their email address?*

We'll use this to get in touch with them.

What is their phone number?*

Please include the area code.

Housing Requirements

What type of property would you like?

Where do you need to live, how many rooms do you need and what features will help you?

Choose all that apply

Attached House Detached House Villa, generally in a small cluster Unit, shared yard and/or parking

How many bedrooms are needed?* One Two Three Four

Is a yard and garden area needed?* Yes No

In which general areas is a property required?*

Choose all that apply

North Metro Adelaide Outer North Metro Adelaide South Metro Adelaide Outer South Metro Adelaide East Metro Adelaide West Metro Adelaide Other Regional Area

Does the property need room for your support provider?* To stay overnight To work during the day No

Other House Members

Are there other people who will live with you?* Yes No

First House Member

What is their full name?

What is your relationship with this person? They are* My Partner My Parent My Child A Friend

What is their date of birth? (DD/MM/YYYY)

What is their biological sex? Male Female

Is there another household member to add? Yes No

Second House Member

What is their full name?

What is your relationship with this person? They are* My Partner My Parent My Child A Friend

What is their date of birth? (DD/MM/YYYY)

What is their biological sex? Male Female

Is there another household member to add? Yes No

Third House Member

What is their full name?

What is your relationship with this person? They are* My Partner My Parent My Child A Friend

What is their date of birth? (DD/MM/YYYY)

What is their biological sex? Male Female

Is there another household member to add? Yes No

Fourth House Member

What is their full name?

What is your relationship with this person? They are* My Partner My Parent My Child A Friend

What is their date of birth? (DD/MM/YYYY)

What is their biological sex? Male Female

Help us improve, on a scale of 1 to 10, with 1 being very easy and 10 being very difficult, how easy did you find this form to complete?

Your opinion is important to us so that we to keep improving.

1 (easy)

10 (difficult)