Person in Need Request Form

no-money-pound-sign emoji

Number of person on waiting list asking for help: [wpforms_entry_total form_id=”9904″]

Number of request forms received  to date: [wpforms_entry_total form_id=”4155″]

Step 1 of 2
🔊 Need help? Click the button below to hear the instructions for this form.

How are you verifying your request?

YOUR DETAILS

Name
How do you want to receive an evoucher - if you are lucky enough to be sent one?

ABOUT THE VOUCHER

Which shop would you like a voucher for?
Amount
Do you want to shop online with it?
Is the voucher for

Evidence

How will you send the bank statement?
Must show name and full address and latest transactions please. If it doesn't, I will ask to see them.
📸 Photo Tips for Fast Approval:
  • Place the paper on a flat, dark surface.
  • Ensure your Name and Date are clear.
  • Avoid using a camera flash (it causes glare).
📸 Quick Tip for a Faster Application:
  • Good Lighting: Place your statement on a flat surface near a window.
  • Avoid Blur: Hold your phone steady and tap the screen to focus on the text.
  • Full Page: Make sure we can see your Full Name, Address, and the Date.
  • File Size: If the file is too big, try taking the photo from slightly further away and cropping it, or use a "Low Quality" camera setting.
Second form of evidence (Must be the full page and must include your name and address. If you are have a child, please provide evidence.
You must show the full document.
How will you send the second form of evidence?
Again must show name and full address. If it doesn't, I will ask to see them.
📸 Photo Tips for Fast Approval:
  • Place the paper on a flat, dark surface.
  • Ensure your Name and Date are clear.
  • Avoid using a camera flash (it causes glare).
📸 Quick Tip for a Faster Application:
  • Good Lighting: Place your statement on a flat surface near a window.
  • Avoid Blur: Hold your phone steady and tap the screen to focus on the text.
  • Full Page: Make sure we can see your Full Name, Address, and the Date.
  • File Size: If the file is too big, try taking the photo from slightly further away and cropping it, or use a "Low Quality" camera setting.

General

Are you homeless?
Are you/were you a member of the armed forces?
How did you hear about the scheme?
Have you been to a foodbank?
Have you asked for help from other organisations in the past?
What have you done or are doing to help yourself?
Do you have a mobile phone?

THE IMPORTANT BIT!

I confirm that the evidence I uploaded has my name and address on it.
Are you willing to nominate the scheme to give us a chance of winning £1000?
Do you or anyone you know shop online?
I'm happy to fill in a feedback form
The feedback form is vital for us, as it's helps us request more financial donations. You will get a link if you get an evoucher.

Powered by
►
Necessary cookies enable essential site features like secure log-ins and consent preference adjustments. They do not store personal data.
None
►
Functional cookies support features like content sharing on social media, collecting feedback, and enabling third-party tools.
None
►
Analytical cookies track visitor interactions, providing insights on metrics like visitor count, bounce rate, and traffic sources.
None
►
Advertisement cookies deliver personalized ads based on your previous visits and analyze the effectiveness of ad campaigns.
None
Powered by