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Homelessness A
dvice
In order to get advice, please fill in the form below. Please complete ALL parts of the form. If a part of the form does not apply to you or you are unsure of an answer, you must still fill it in with “not applicable” or similar.
Please read about our GDPR compliance
here
Who Lives in Your Household?
Are you subject to immigration control, or have you previously returned to the UK after living abroad?
Why Do You Need to Leave Your Current Accommodation?
When?
Is Anyone In The Household Pregnant?
*
Yes
No
Are You Homeless Due to an Emergency e.g. Fire, Flood?
Is Anyone in the Household Vulnerable Because of Old Age Disability or Other Reason?
Why did you leave your previous accommodations?
Which local authority do you want to apply to and why?
Provide a Description of the Problem, What Has Led Up to the Situation and What Outcome is Wanted
We aim to get back within 5 working days.
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