Application to appeal the decision of a landlord in relation to adapting a rented house for a disabled person
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59. Where a tenant makes an application under section 66A(1) (appeals in relation to section 52) of the 2006 Act, the application must—
(a)state—
(i)the name and address of the tenant;
(ii)the name, address and profession of any representative of the tenant;
(iii)the name, address and registration number (if any) of the landlord;
(iv)details of the works requested by the tenant; and
(v)details of the landlord’s decision and reasons for that decision; and
(b)be signed and dated by the tenant or a representative of the tenant.