Complete this form if you are:
- In financial crisis or you are vulnerable - see examples of crisis
- A professional contacting us on behalf of a client.
By filling in the welfare support form, you may qualify for food support, energy vouchers and furniture packages.
You MUST complete all sections of the form including the income and expenditure section or your application will not be processed.
To complete this application form you will need:
- Your National Insurance number
- Contact details including an email address
- Details of money you and members of your household are receiving
- Details of your outgoings
- Details of your situation
To make a decision on your application we need you to complete this form with as much accurate information as possible. In some circumstances supporting evidence may be required, we will email you when we review your application if we need further information. Do not delay in providing this evidence as it may delay a decision if we need to contact you.
The information we are asking for in the application is there to help and support you so we can look at your circumstances and identify if you are entitled to any further support.
Before you apply
Before making a referral for welfare support, you will need to read the Local Welfare Support Policy and consider the following:
Complete the welfare support form