{"id":448,"date":"2026-02-10T15:54:59","date_gmt":"2026-02-10T15:54:59","guid":{"rendered":"https:\/\/partnershipone.com\/DDC\/?page_id=448"},"modified":"2026-06-19T15:16:06","modified_gmt":"2026-06-19T14:16:06","slug":"hb-rent-schedule","status":"publish","type":"page","link":"https:\/\/partnershipone.com\/DDC\/hb-rent-schedule\/","title":{"rendered":"Housing benefit supported accommodation landlord rent schedule"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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0.65)'\/%3E%3C\/svg%3E\");--gf-label-space-y-secondary: var(--gf-label-space-y-md-secondary);--gf-ctrl-border-color: #686e77;--gf-ctrl-size: var(--gf-ctrl-size-md);--gf-ctrl-label-color-primary: #112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-btn-bg-color-hover-tertiary: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><div id='gf_69' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_69'  action='\/DDC\/wp-json\/wp\/v2\/pages\/448#gf_69' data-formid='69' novalidate><div id='gf_page_steps_69' class='gf_page_steps'><div id='gf_step_69_1' class='gf_step gf_step_active gf_step_first'><span class='gf_step_number'>1<\/span><span class='gf_step_label'>Using the form<\/span><\/div><div id='gf_step_69_2' class='gf_step gf_step_next gf_step_pending'><span class='gf_step_number'>2<\/span><span class='gf_step_label'>About you the landlord<\/span><\/div><div id='gf_step_69_3' class='gf_step gf_step_pending'><span class='gf_step_number'>3<\/span><span class='gf_step_label'>About the scheme<\/span><\/div><div id='gf_step_69_4' class='gf_step gf_step_pending'><span class='gf_step_number'>4<\/span><span class='gf_step_label'>Facilities, amenities and charges<\/span><\/div><div id='gf_step_69_5' class='gf_step gf_step_pending'><span class='gf_step_number'>5<\/span><span class='gf_step_label'>Intensive housing management<\/span><\/div><div id='gf_step_69_6' class='gf_step gf_step_pending'><span class='gf_step_number'>6<\/span><span class='gf_step_label'>Ineligible service charges<\/span><\/div><div id='gf_step_69_7' class='gf_step gf_step_pending'><span class='gf_step_number'>7<\/span><span class='gf_step_label'>Care, support and supervision<\/span><\/div><div id='gf_step_69_8' class='gf_step gf_step_pending'><span class='gf_step_number'>8<\/span><span class='gf_step_label'>Declaration<\/span><\/div><div id='gf_step_69_9' class='gf_step gf_step_last gf_step_pending'><span class='gf_step_number'>9<\/span><span class='gf_step_label'>Other information<\/span><\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_69_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_69' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_69_1\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p>The form must be completed by the landlord.<\/p>\n<p><\/p>\n<h2>This form will ask you to provide<\/h2>\n<ul>\n\t<li>your details<\/li>\n\t<li>scheme information<\/li>\n\t<li>weekly charges including lease\/rent gross yield %, sinking fund, facilities and amenities, void state %<\/li>\n\t<li>intensive housing management breakdown<\/li>\n\t<li>ineligible service charges<\/li>\n\t<li>details of the care, support and supervision provide and any charges.<\/li>\n<\/ul>\n<p><\/p>\n\n<p>Please have this information ready as pages time-out after one hour.<\/p>\n\n<p>Do not use your browser back button &#8211; if you need to go to a previous page click on the previous button at the bottom of each page.<\/p>\n\n<h2>Privacy Statement<\/h2>\nDover District Council is a Data Controller under GDPR.  In submitting this form we will collect and process your personal data.  For information about your rights and how the Council uses your data,  please view our Corporate and relevant service privacy notice which can be found on our <a href=\"https:\/\/www.dover.gov.uk\/Website\/Privacy-and-Cookies.aspx\"target=\"_blank\">Privacy page<\/a>.<\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <button type='button' id='gform_next_button_69_3' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_69_2' class='gform_page' data-js='page-field-id-3' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_69_2' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_69_5\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">About you the landlord<\/h3><\/div><div id=\"field_69_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_4'><span class='gform-field-label__text'>Title (for example Mr, Mrs, Ms, Miss)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_69_4' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_69_6\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_6'><span class='gform-field-label__text'>First name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_69_6' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_69_7\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_7'><span class='gform-field-label__text'>Last name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_69_7' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_69_8\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_8'><span class='gform-field-label__text'>Company name (if applciable)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_69_8' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_69_9\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_9'><span class='gform-field-label__text'>Contact phone number<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_69_9' type='text' value='' class='large'    placeholder='99999 999999' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"99999 999999\"\/><\/div><\/div><fieldset id=\"field_69_10\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Email address<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_69_10_container'>\n                                <span id='input_69_10_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_69_10' class='gform-field-label gform-field-label--type-sub '>Enter email address<\/label>\n                                    <input class='' type='email' name='input_10' id='input_69_10' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                <\/span>\n                                <span id='input_69_10_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_69_10_2' class='gform-field-label gform-field-label--type-sub '>Confirm email address<\/label>\n                                    <input class='' type='email' name='input_10_2' id='input_69_10_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><fieldset id=\"field_69_156\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Address<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_zip ginput_container_address gform-grid-row' id='input_69_156' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_69_156_1_container' >\n                                        <label for='input_69_156_1' id='input_69_156_1_label' class='gform-field-label gform-field-label--type-sub '>Address line 1<\/label>\n                                        <input type='text' name='input_156.1' id='input_69_156_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_69_156_2_container' >\n                                        <label for='input_69_156_2' id='input_69_156_2_label' class='gform-field-label gform-field-label--type-sub '>Address line 2<\/label>\n                                        <input type='text' name='input_156.2' id='input_69_156_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_69_156_3_container' >\n                                    <label for='input_69_156_3' id='input_69_156_3_label' class='gform-field-label gform-field-label--type-sub '>Town or city<\/label>\n                                    <input type='text' name='input_156.3' id='input_69_156_3' value=''    aria-required='true'    \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_156.4' id='input_69_156_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_69_156_5_container' >\n                                    <label for='input_69_156_5' id='input_69_156_5_label' class='gform-field-label gform-field-label--type-sub '>Postcode<\/label>\n                                    <input type='text' name='input_156.5' id='input_69_156_5' value=''    aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_156.6' id='input_69_156_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_69_12' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_69_12' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_69_3' class='gform_page' data-js='page-field-id-12' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_69_3' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_69_13\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">About the scheme<\/h3><\/div><div id=\"field_69_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_14'><span class='gform-field-label__text'>Scheme name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_69_14' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_69_157\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Scheme address<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_zip ginput_container_address gform-grid-row' id='input_69_157' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_69_157_1_container' >\n                                        <label for='input_69_157_1' id='input_69_157_1_label' class='gform-field-label gform-field-label--type-sub '>Address line 1<\/label>\n                                        <input type='text' name='input_157.1' id='input_69_157_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_69_157_2_container' >\n                                        <label for='input_69_157_2' id='input_69_157_2_label' class='gform-field-label gform-field-label--type-sub '>Address line 2<\/label>\n                                        <input type='text' name='input_157.2' id='input_69_157_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_69_157_3_container' >\n                                    <label for='input_69_157_3' id='input_69_157_3_label' class='gform-field-label gform-field-label--type-sub '>Town or city<\/label>\n                                    <input type='text' name='input_157.3' id='input_69_157_3' value=''    aria-required='true'    \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_157.4' id='input_69_157_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_69_157_5_container' >\n                                    <label for='input_69_157_5' id='input_69_157_5_label' class='gform-field-label gform-field-label--type-sub '>Postcode<\/label>\n                                    <input type='text' name='input_157.5' id='input_69_157_5' value=''    aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_157.6' id='input_69_157_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_69_16\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_16'><span class='gform-field-label__text'>Number of tenants in the scheme?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_69_16' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_69_17\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datedropdown gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Date the rent is effective form?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_69_17' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_69_17_2_container'><label for='input_69_17_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Day<\/label><select name='input_17[]' id='input_69_17_2'   aria-required='true'  ><option value=''>Day<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_69_17_1_container'><label for='input_69_17_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Month<\/label><select name='input_17[]' id='input_69_17_1'   aria-required='true'  ><option value=''>Month<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_69_17_3_container'><label for='input_69_17_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Year<\/label><select name='input_17[]' id='input_69_17_3'   aria-required='true'  ><option value=''>Year<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/fieldset><div id=\"field_69_18\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">About the rent (per week per tenant)<\/h3><\/div><div id=\"field_69_29\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_29'><span class='gform-field-label__text'>Lease\/rent gross yield %<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_69_29' type='text' value='' class='large'    placeholder='Gross yield %' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_69_30\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_30'><span class='gform-field-label__text'>Lease\/rent weekly cost<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_69_30'>(per week per tenant)<\/div><div class='ginput_container ginput_container_number'><input name='input_30' id='input_69_30' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_69_30\" \/><\/div><\/div><div id=\"field_69_23\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_23'><span class='gform-field-label__text'>Sinking fund<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_69_23'>Weekly cost (per week per tenant)<\/div><div class='ginput_container ginput_container_number'><input name='input_23' id='input_69_23' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_69_23\" \/><\/div><\/div><div id=\"field_69_27\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_27'><span class='gform-field-label__text'>Please confirm what the sinking fund covers<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_27' id='input_69_27' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_69_24\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_24'><span class='gform-field-label__text'>Development\/legal costs<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_69_24'>Weekly cost (per week per tenant)<\/div><div class='ginput_container ginput_container_number'><input name='input_24' id='input_69_24' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_69_24\" \/><\/div><\/div><div id=\"field_69_25\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_25'><span class='gform-field-label__text'>Landlord&#039;s buildings and contents insurance<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_69_25'>Weekly cost (per week per tenant)<\/div><div class='ginput_container ginput_container_number'><input name='input_25' id='input_69_25' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_69_25\" \/><\/div><\/div><div id=\"field_69_26\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_26'><span class='gform-field-label__text'>Any other core rent costs, for example lending repayments<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_69_26'>Weekly cost (per week per tenant)<\/div><div class='ginput_container ginput_container_number'><input name='input_26' id='input_69_26' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_69_26\" \/><\/div><\/div><div id=\"field_69_28\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_28'><span class='gform-field-label__text'>Please provide a breakdown of any other payments<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_28' id='input_69_28' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_69_31' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_69_31' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_69_4' class='gform_page' data-js='page-field-id-31' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_69_4' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_69_32\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">About the facilities, amenities and related charges<\/h3><div class='gsection_description' id='gfield_description_69_32'>Weekly cost \u00a30.00<\/div><\/div><div id=\"field_69_33\" class=\"gfield gfield--type-number gfield--input-type-number gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_33'><span class='gform-field-label__text'>Fire and safety equipment servicing and replacement<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_33' id='input_69_33' type='text' step='any'   value='\u00a30.00' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_34\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_34'><span class='gform-field-label__text'>Day to day repairs and maintenance<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_34' id='input_69_34' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_35\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_35'><span class='gform-field-label__text'>Statutory maintenance\/servicing tests<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_35' id='input_69_35' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_36\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_36'><span class='gform-field-label__text'>Maintenance\/servicing contracts on heating\/electrical system<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_36' id='input_69_36' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_37\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_37'><span class='gform-field-label__text'>Door entry and CCTV security systems<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_37' id='input_69_37' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_38\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_38'><span class='gform-field-label__text'>Water safety inspections and monitoring<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_38' id='input_69_38' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_39\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_39'><span class='gform-field-label__text'>Planned maintenance (please supply breakdown)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_39' id='input_69_39' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_152\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_152'><span class='gform-field-label__text'>Please provide a breakdown of what the planned maintenance covers<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_152' id='input_69_152' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_69_40\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_40'><span class='gform-field-label__text'>Refuse disposal and pest control<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_40' id='input_69_40' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_41\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_41'><span class='gform-field-label__text'>Night security<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_41' id='input_69_41' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_42\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_42'><span class='gform-field-label__text'>Gardening<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_42' id='input_69_42' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_43\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_43'><span class='gform-field-label__text'>Window cleaning<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_43' id='input_69_43' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_44\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_44'><span class='gform-field-label__text'>Replacement of communal furnishings<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_44' id='input_69_44' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_45\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_45'><span class='gform-field-label__text'>Replacement of communual white goods<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_45' id='input_69_45' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_46\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_46'><span class='gform-field-label__text'>Provision of flooring &amp; curtains<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_46' id='input_69_46' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_47\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_47'><span class='gform-field-label__text'>Provision of communal telephone<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_47' id='input_69_47' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_48\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_48'><span class='gform-field-label__text'>Provision of furniture\/equipment for tenants own areas<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_48' id='input_69_48' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_49\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_49'><span class='gform-field-label__text'>Internal decoration<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_49' id='input_69_49' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_50\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_50'><span class='gform-field-label__text'>External redecoration<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_50' id='input_69_50' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_51\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_51'><span class='gform-field-label__text'>External Cleaning &#8211; communal areas<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_51' id='input_69_51' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_52\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_52'><span class='gform-field-label__text'>Heat and light &#8211; communal areas only<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_52' id='input_69_52' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_53\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_53'><span class='gform-field-label__text'>Communal water charges<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_53' id='input_69_53' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_54\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_54'><span class='gform-field-label__text'>Council Tax<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_54' id='input_69_54' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_55\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_55'><span class='gform-field-label__text'>Management costs weekly total (breakdown required), if applicable<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_55' id='input_69_55' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_58\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_58'><span class='gform-field-label__text'>Please provide a breakdown of management costs<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_58' id='input_69_58' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_69_59\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Facilities, amenities and related charges (continued)<\/h3><\/div><div id=\"field_69_56\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_56'><span class='gform-field-label__text'>Void %<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_56' id='input_69_56' type='text' value='' class='large'    placeholder='%' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_69_57\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_57'><span class='gform-field-label__text'>Weekly cost \u00a30.00<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_57' id='input_69_57' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_69_60' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_69_60' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_69_5' class='gform_page' data-js='page-field-id-60' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_69_5' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_69_61\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Intensive housing management breakdown<\/h3><div class='gsection_description' id='gfield_description_69_61'>Weekly cost \u00a30.00<\/div><\/div><div id=\"field_69_62\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_62'><span class='gform-field-label__text'>Rent collection\/arrears maintenance<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_62' id='input_69_62' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_63\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_63'><span class='gform-field-label__text'>Administration and maintenance of tenancy agreements<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_63' id='input_69_63' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_64\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_64'><span class='gform-field-label__text'>Liaison with other agencies<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_64' id='input_69_64' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_65\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_65'><span class='gform-field-label__text'>Concierge duties and access controls<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_65' id='input_69_65' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_66\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_66'><span class='gform-field-label__text'>Providing information on tenancy related matters<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_66' id='input_69_66' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_67\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_67'><span class='gform-field-label__text'>Staff training relating to housing management<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_67' id='input_69_67' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_68\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_68'><span class='gform-field-label__text'>Tenant consultation on tenancy related matters<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_68' id='input_69_68' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_69\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_69'><span class='gform-field-label__text'>Other weekly charges total (breakdown required), if applicable<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_69' id='input_69_69' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_70\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_70'><span class='gform-field-label__text'>Please provide a breakdown of other intensive housing management charges<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_70' id='input_69_70' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_69_71' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_69_71' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_69_6' class='gform_page' data-js='page-field-id-71' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_69_6' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_69_72\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">About the ineligible service charges<\/h3><div class='gsection_description' id='gfield_description_69_72'>Weekly cost \u00a30.00<\/div><\/div><div id=\"field_69_73\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_73'><span class='gform-field-label__text'>Personal heat and light<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_73' id='input_69_73' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_74\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_74'><span class='gform-field-label__text'>Water rates<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_74' id='input_69_74' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_75\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_75'><span class='gform-field-label__text'>Personal cleaning<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_75' id='input_69_75' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_76\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_76'><span class='gform-field-label__text'>Management of ineligible services<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_76' id='input_69_76' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_77\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_77'><span class='gform-field-label__text'>TV licence<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_77' id='input_69_77' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_78\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_78'><span class='gform-field-label__text'>Emergency alarm system<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_78' id='input_69_78' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_79\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_79'><span class='gform-field-label__text'>Non communal window cleaning<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_79' id='input_69_79' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_80\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_80'><span class='gform-field-label__text'>Non communal gardening<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_80' id='input_69_80' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_81\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_81'><span class='gform-field-label__text'>Meals<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_81' id='input_69_81' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_82\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_82'><span class='gform-field-label__text'>Other weekly charges total (breakdown required)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_82' id='input_69_82' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_83\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_83'><span class='gform-field-label__text'>Please provide a breakdown of other Ineligible service charges<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_83' id='input_69_83' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_69_84' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_69_84' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_69_7' class='gform_page' data-js='page-field-id-84' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_69_7' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_69_102\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">About the care, support and supervision<\/h3><\/div><fieldset id=\"field_69_85\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Who is responsible for ensuring that care, support, supervision is provided?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_69_85'>Please select all that apply<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_69_85'><div class='gchoice gchoice_69_85_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_85.1' type='checkbox'  value='Landlord'  id='choice_69_85_1'   aria-describedby=\"gfield_description_69_85\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_69_85_1' id='label_69_85_1' class='gform-field-label gform-field-label--type-inline'>Landlord<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_69_85_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_85.2' type='checkbox'  value='KCC'  id='choice_69_85_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_69_85_2' id='label_69_85_2' class='gform-field-label gform-field-label--type-inline'>KCC<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_69_85_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_85.3' type='checkbox'  value='NHS'  id='choice_69_85_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_69_85_3' id='label_69_85_3' class='gform-field-label gform-field-label--type-inline'>NHS<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_69_85_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_85.4' type='checkbox'  value='Other'  id='choice_69_85_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_69_85_4' id='label_69_85_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_69_86\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_86'><span class='gform-field-label__text'>Please tell us who is responsible for ensuring that care, support, supervision is provided?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_86' id='input_69_86' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_69_87\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_87'><span class='gform-field-label__text'>Who is the care, support or supervision provider?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_87' id='input_69_87' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_69_88\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_88'><span class='gform-field-label__text'>Who pays the care, support and supervision charges?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_88' id='input_69_88' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_69_89\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Care, support and supervision charges<\/h3><div class='gsection_description' id='gfield_description_69_89'>Please tell us the weekly charge and hours for the following<\/div><\/div><div id=\"field_69_91\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_91'><span class='gform-field-label__text'>24 hour sleep-in support weekly charge<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_91' id='input_69_91' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_90\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_90'><span class='gform-field-label__text'>24 hour sleep-in support weekly hours<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_90' id='input_69_90' type='text' value='' class='large'    placeholder='hh:mm' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"99:99\"\/><\/div><\/div><div id=\"field_69_93\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_93'><span class='gform-field-label__text'>Intensive high-level support weekly charge<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_93' id='input_69_93' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_92\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_92'><span class='gform-field-label__text'>Intensive high-level support weekly hours<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_92' id='input_69_92' type='text' value='' class='large'    placeholder='hh:mm' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"99:99\"\/><\/div><\/div><div id=\"field_69_95\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_95'><span class='gform-field-label__text'>Life skills\t weekly charge<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_95' id='input_69_95' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_94\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_94'><span class='gform-field-label__text'>Life skills\tweekly hours<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_94' id='input_69_94' type='text' value='' class='large'    placeholder='hh:mm' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"99:99\"\/><\/div><\/div><div id=\"field_69_97\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_97'><span class='gform-field-label__text'>Sheltered housing weekly charge<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_97' id='input_69_97' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_96\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_96'><span class='gform-field-label__text'>Sheltered housing weekly hours<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_96' id='input_69_96' type='text' value='' class='large'    placeholder='hh:mm' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"99:99\"\/><\/div><\/div><div id=\"field_69_99\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_99'><span class='gform-field-label__text'>Occasional support as and when required weekly charge<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_99' id='input_69_99' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_98\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_98'><span class='gform-field-label__text'>Occasional support as and when required weekly hours<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_98' id='input_69_98' type='text' value='' class='large'    placeholder='hh:mm' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"99:99\"\/><\/div><\/div><div id=\"field_69_101\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_101'><span class='gform-field-label__text'>Support for general needs weekly charge<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_101' id='input_69_101' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_100\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_100'><span class='gform-field-label__text'>Support for general needs weekly hours<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_100' id='input_69_100' type='text' value='' class='large'    placeholder='hh:mm' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"99:99\"\/><\/div><\/div><div id=\"field_69_104\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_104'><span class='gform-field-label__text'>Medical treatment weekly charge<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_104' id='input_69_104' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_103\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_103'><span class='gform-field-label__text'>Medical treatment weekly hours<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_103' id='input_69_103' type='text' value='' class='large'    placeholder='hh:mm' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"99:99\"\/><\/div><\/div><div id=\"field_69_106\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_106'><span class='gform-field-label__text'>Nursing care weekly charge<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_106' id='input_69_106' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_105\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_105'><span class='gform-field-label__text'>Nursing care weekly hours<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_105' id='input_69_105' type='text' value='' class='large'    placeholder='hh:mm' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"99:99\"\/><\/div><\/div><div id=\"field_69_108\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_108'><span class='gform-field-label__text'>Physiotherapy weekly charge<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_108' id='input_69_108' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_107\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_107'><span class='gform-field-label__text'>Physiotherapy weekly hours<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_107' id='input_69_107' type='text' value='' class='large'    placeholder='hh:mm' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"99:99\"\/><\/div><\/div><div id=\"field_69_110\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_110'><span class='gform-field-label__text'>Day to day help (shopping, bathing, dressing) weekly charge<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_110' id='input_69_110' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_109\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_109'><span class='gform-field-label__text'>Day to day help (shopping, bathing, dressing) weekly hours<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_109' id='input_69_109' type='text' value='' class='large'    placeholder='hh:mm' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"99:99\"\/><\/div><\/div><div id=\"field_69_112\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_112'><span class='gform-field-label__text'>Child care activities weekly charge<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_112' id='input_69_112' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_111\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_111'><span class='gform-field-label__text'>Child care activities weekly hours<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_111' id='input_69_111' type='text' value='' class='large'    placeholder='hh:mm' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"99:99\"\/><\/div><\/div><div id=\"field_69_114\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_114'><span class='gform-field-label__text'>Providing education and training weekly charge<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_114' id='input_69_114' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_113\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_113'><span class='gform-field-label__text'>Providing education and training weekly hours<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_113' id='input_69_113' type='text' value='' class='large'    placeholder='hh:mm' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"99:99\"\/><\/div><\/div><div id=\"field_69_116\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_116'><span class='gform-field-label__text'>Welfare benefit advice other than HB weekly charge<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_116' id='input_69_116' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_115\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_115'><span class='gform-field-label__text'>Welfare benefit advice other than HB weekly hours<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_115' id='input_69_115' type='text' value='' class='large'    placeholder='hh:mm' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"99:99\"\/><\/div><\/div><div id=\"field_69_118\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_118'><span class='gform-field-label__text'>Debt advice (not related to rent arrears) weekly charge<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_118' id='input_69_118' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_117\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_117'><span class='gform-field-label__text'>Debt advice (not related to rent arrears) weekly hours<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_117' id='input_69_117' type='text' value='' class='large'    placeholder='hh:mm' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"99:99\"\/><\/div><\/div><div id=\"field_69_120\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_120'><span class='gform-field-label__text'>Legal advice weekly charge<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_120' id='input_69_120' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_119\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_119'><span class='gform-field-label__text'>Legal advice weekly hours<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_119' id='input_69_119' type='text' value='' class='large'    placeholder='hh:mm' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"99:99\"\/><\/div><\/div><div id=\"field_69_122\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_122'><span class='gform-field-label__text'>Organising communal activities weekly charge<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_122' id='input_69_122' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_121\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_121'><span class='gform-field-label__text'>Organising communal activities weekly hours<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_121' id='input_69_121' type='text' value='' class='large'    placeholder='hh:mm' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"99:99\"\/><\/div><\/div><div id=\"field_69_124\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_124'><span class='gform-field-label__text'>Therapy and advice weekly charge<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_124' id='input_69_124' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_123\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_123'><span class='gform-field-label__text'>Therapy and advice weekly hours<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_123' id='input_69_123' type='text' value='' class='large'    placeholder='hh:mm' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"99:99\"\/><\/div><\/div><div id=\"field_69_126\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_126'><span class='gform-field-label__text'>Support plans weekly charge<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_126' id='input_69_126' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_125\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_125'><span class='gform-field-label__text'>Support plans weekly hours<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_125' id='input_69_125' type='text' value='' class='large'    placeholder='hh:mm' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"99:99\"\/><\/div><\/div><div id=\"field_69_128\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_128'><span class='gform-field-label__text'>Daily welfare checks weekly charge<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_128' id='input_69_128' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_127\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_127'><span class='gform-field-label__text'>Daily welfare checks weekly hours<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_127' id='input_69_127' type='text' value='' class='large'    placeholder='hh:mm' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"99:99\"\/><\/div><\/div><div id=\"field_69_130\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_130'><span class='gform-field-label__text'>Other weekly charges total (breakdown required) weekly charge<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_130' id='input_69_130' type='text' step='any'   value='' class='large'    placeholder='\u00a30.00' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_129\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_129'><span class='gform-field-label__text'>Other weekly charges total (breakdown required) weekly hours<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_129' id='input_69_129' type='text' value='' class='large'    placeholder='hh:mm' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"99:99\"\/><\/div><\/div><div id=\"field_69_131\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_131'><span class='gform-field-label__text'>Please provide a breakdown of the other care, support and supervision charges<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_131' id='input_69_131' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_69_132' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_69_132' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_69_8' class='gform_page' data-js='page-field-id-132' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_69_8' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_69_155\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Declaration<\/h3><div class='gsection_description' id='gfield_description_69_155'><p>Please check the box below to confirm that you have read, understand and agree to the following statements:<\/p>\n\n<ul>\n\t<li>I confirm the details I have given&nbsp;are correct and true.<\/li>\n\t<li>I confirm that I will notify you of any relevant changes straight away.<\/li>\n\t<li>I understand that if I give information that is false this could lead to a penalty or legal proceedings being taken against me.<\/li>\n\t<li>I understand my data may be shared with other departments as permitted by law.<\/li>\n<\/ul><\/div><\/div><fieldset id=\"field_69_135\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Declaration<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_69_135'><div class='gchoice gchoice_69_135_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_135.1' type='checkbox'  value='I understand and accept the above declaration'  id='choice_69_135_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_69_135_1' id='label_69_135_1' class='gform-field-label gform-field-label--type-inline'>I understand and accept the above declaration<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_69_144' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_69_144' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_69_9' class='gform_page' data-js='page-field-id-144' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_69_9' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_69_145\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Total weekly charges are listed below:<\/h3><\/div><div id=\"field_69_138\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_138'><span class='gform-field-label__text'>Rent per week per tenant &#8211; total weekly charges:<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_138' id='input_69_138' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_139\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_139'><span class='gform-field-label__text'>Facilities, amenities and related charges &#8211; total weekly charges:<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_139' id='input_69_139' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_140\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_140'><span class='gform-field-label__text'>Intensive housing management breakdown &#8211; total weekly charges:<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_140' id='input_69_140' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_141\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_141'><span class='gform-field-label__text'>Ineligible service charges &#8211; total weekly charges:<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_141' id='input_69_141' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_142\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_142'><span class='gform-field-label__text'>Care, support and supervision charges &#8211; total weekly charges:<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_142' id='input_69_142' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_143\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_143'><span class='gform-field-label__text'>Total weekly charges:<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_143' id='input_69_143' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_69_151\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Other information<\/h3><\/div><div id=\"field_69_150\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_69_150'><span class='gform-field-label__text'>Please use this box to tell us any other information<\/span><\/label><div class='gfield_description' id='gfield_description_69_150'>If you have no further information to give us, leave the box blank<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_150' id='input_69_150' class='textarea medium'  aria-describedby=\"gfield_description_69_150\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><button type='submit' id='gform_previous_button_69' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='submit' id='gform_submit_button_69' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_69' value='postback' \/>\n 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value='WyJ7XCI4NS4xXCI6XCI3NTFhZTc1YWUyZDI4ZjA0ZTRiZmI4NDAxMTI2OGM4ZFwiLFwiODUuMlwiOlwiMGEzMjE0OWM2OWZlYjZjNTBjNzMyZGUwZjg1YTRmODhcIixcIjg1LjNcIjpcImQxNjQ4ZWM1ZTE4YjBjNzA1NTI1OTAyN2JlNDNmMjYwXCIsXCI4NS40XCI6XCIyZTg1YWZlZDEzMWEyZjFjNTliODUxOTI5OGY5OWJlMlwiLFwiMTM1LjFcIjpcImU3YjEzOTI3OTg4OGE3MmMyNDlhMWRlMWM0YzYxOTk1XCIsXCJnZm9ybV9zdWJtaXNzaW9uX21ldGhvZFwiOltcIjQyMWIzYjc4NGM4MjFhNDE1ZmQ4MDVmY2UwN2FiNTExXCIsXCJkN2E5YzM3YzM2Njc4NTI5NTQ5ODViMTk2YTVjZmRmNVwiXSxcImdmb3JtX3RoZW1lXCI6XCIyZGY5MzEzNjY1N2Q0ZWJkOTRmZDY2Zjg0YWU1NTJmMFwiLFwiZ2Zvcm1fc3R5bGVfc2V0dGluZ3NcIjpcIjcyM2ZiZmJkYjRjMTZmYTM5OTM4NGI2NjE0N2JhNDk5XCIsXCJmb3JtX2lkXCI6XCIyMGJiMGE1NjU1OTU1MDdkMWE2Zjg0NDQ3MTJhOTg5NFwiLFwidXJsXCI6XCI3MDc5NDg1NWYwZGE4NDlhNzI4OTFjNWVjNTNmNzEyYlwiLFwic3RhdGVfdGltZXN0YW1wXCI6XCI4NGQ0MjI0NjlmMDU5YWM3NmMxMTZkN2FlZTMzODE0OVwifSIsIjE3MzdjNDRiY2RlMWIyMGE1YmUzY2RlMWQ2ZTQxNjM4IiwxNzg3NTUwMzA0XQ==' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_69' 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