<Your address (or c/o address)
Your town/city
Your postcode>

<Date>

To the Homeless Persons’ Section
<Your council’s address
Town/city
Postcode>

Dear Sir or Madam,

Your Ref: <include reference number written on the council’s decision letter.> 

I wish to request a review under s85 Housing (Wales) Act 2014 of the Council’s decision on my homelessness application.

The Council notified me of their decision on my homelessness application in a letter dated <insert date of the letter> which I received on <insert date letter received>. The decision made by the Council was <Give basic details of the decision.>

My reasons for requesting the review are as follows:

<Explain why you think the decision should be reviewed. For example:
·	you believe that you are:
-	eligible for help;
-	homeless or threatened with homelessness within 56 days;
-	in priority need, or,
-	unintentionally homeless
but the council has decided that you are not.  Give reasons why you think the council are wrong.
·	you believe that you have a local connection with the area and you do not think that you should be sent to another council. Give reasons to demonstrate your local connection.
•	the council have decided that they are going to end the help that is being given to you (sometimes known as a decision to ‘end a duty’) but you think that the help should continue (for example, because you do not think the council has taken ‘reasonable steps’ to help you secure accommodation despite having accepted a duty to do so).
·	you believe that the accommodation the council has provided is unsuitable.
•	the council ignored relevant issues or based its decision on incorrect information.
·	you have new information to support your application.

If it is more than 21 days since you received the decision, explain the reasons why you didn’t request a review earlier and add: I therefore request that the Council exercise its discretion to accept the request for a review after the statutory deadline has passed.

I also request that the Council continue to provide interim accommodation for me/my household until the review decision has been made. <insert this sentence if you are being provided with accommodation by the Council>

I will be seeking advice and help with the review process as soon as possible.
<It is highly recommended that you DO get advice if you are requesting a review of a homelessness decision as the law can be complicated. Contact Shelter Cymru on 0345 075 5005 for details of our services in your local area that can help you> 

Please inform me as soon as possible on the procedure to be followed on review and any relevant deadlines for the submission of further representations.

Thank you for your assistance in this matter.

Yours faithfully

<Your name and signature>
Contact telephone number: <your number>