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Housing and welfare benefits referral

Tell us what is happening so we can direct the referral to the right advice team.

Referral route

Is this mainly debt, housing or benefits?

If debt is the main issue, use the debt referral tool. If housing or benefits are the main issue, stay on this form. If there are several issues, start with the most urgent one and tell us about the rest.

Referral form

Before you start

This form is for housing and welfare benefits advice referrals. If there is no safe place to stay tonight, a bailiff date, or an immediate crisis, please also call us on 01536 416560.

We will use the information you provide to contact the client and understand what help may be needed.

What happens next?

The referral is sent securely to our advice system. We will review the information and make contact as soon as we can.

If this is an emergency, do not wait for a form response.

Stage 1 of 5

Who is completing this form?

Start by telling us whether this is your own referral or you are helping someone else.