Request a rent statement Use this form to request a rent statement. Request a rent statement Consent for storing submitted data * Yes, I give permission to store and process my data Name * Your full name as it appears on your tenancy. Date of birth * Please include your date of birth for data protection purposes. Address * Please include your full address including house number and postcode. I would prefer to be contacted by * Phone Email Phone number Email What period would you like your rent statement to cover? This might be a month or a longer period.