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Tenancy Sustainment Referral Form
If you need support in any of these areas, please fill out the form below.
Consent for storing submitted data
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Yes, I give permission to store and process my data
No, I don't consent to storing and processing my data
Name
Address
Contact number
Email address
What is your preferred contact method?
Email
Phone call
What is the best time to contact you?
Morning
Afternoon
Evening
Anytime
What would you like support with?
Help with rent arrears
Help with budgeting
Help with debts
Help with benefits
I am struggling to look after my home
My home is no longer suitable for me
Help with training
Help with finding work
Help with getting online
Mental health support
Physical health support
Something else
Tell us more about your circumstances and what you would like to achieve with our support.
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