Application form

In order to qualify for a tenancy, you must fulfil the following criteria:

  • You must have been a member of the Armed Forces or Emergency Services.

  • You must live in Derby or Derbyshire or have a connection with Derby or Derbyshire. Example are those who have served with a Derbyshire Regiment, or have a family member living in Derby or Derbyshire.

  • You must have a disability

Please fill in the entry form opposite.

If you are eligible for a place in The War Memorial Village we'll send you a further form via email that asks for more in-depth information about your current situation.

When you receive this second form, please it print out, complete it and send it back to us in the post.

We look forward to receiving your application.

Derby Homes will receive and assess all applications.
Please enter your title
Please enter your first name
Please enter your last name
Please tell us your relationship to the main applicant
Please enter your telephone number
Please enter your email address
Please enter what connects you to the Derbyshire area
Please let us know if there are any other people
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