How to order a voucher

Step 1

Please complete this form

Step 1 of 2

🔊 Need help? Click the button below to hear the instructions for this form.

Status

I understand that i will be put on a waiting list due to low funds

I undersand

Date

YOUR DETAILS

Name

First

Last

Mobile Number

Go straight to MyCharity Mobile to sign up
https://www.mycharitymobile.com/consumers/?charityNumber=1196690

Confirm Email

Delivery details

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

Email
text

Are you on WhatsApp

Address

Address details
I don't have a fixed abode

Town/City

Postcode

To help us keep the voucher pot full for everyone, we just ask that you send us a quick photo of your shopping or receipt afterward. This helps us prove to our donors that the funds are changing lives!

ABOUT THE VOUCHER

Amount

£10

Do you want to shop online with it?

Please ask about this as quite a few supermarkets don't ahllow this with the evoucher.

Please give a brief reason for the request

What are you planning to buy?

What difference will this evoucher make to your day to day living?

Is the voucher for

single person
single parent
Family [2 parents & 2 or more children)

Evidence

📸 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.

📸 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).

last 3 months' bank statement (full page and contains your name and address)

Drag & Drop Files, Choose Files to Upload You can upload up to 5 files.

Please upload full pages only. Accepted formats: JPG, PNG, or PDF (photo or scan). The document must clearly show your name and address.

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.

File Upload

Drag & Drop Files, Choose Files to Upload You can upload up to 3 files.

Please upload a photo/scan of your evidence. Accepted formats: JPG, PNG, or PDF. The full page must be visible and clearly show your name and address.

Your Situation

When do you next get paid?

General

Have you seen https://streetsupport.net/

How did you hear about the scheme?

NHS
Through a supported organisation
Other
Online search

If NHS please provide .net email address

Which organisation/support group

Other way you heard about scheme?

If mental health worker please provide letter or ask them to contact me directly to refer you. I will ask for the evidence

Have you been to a foodbank?

Have you been to a foodbank? If so, which one?

Have you asked for help from other organisations in the past?

Other help you've had

you do of

What have you done or are doing to help yourself?

Other ways you are supporting yourself

Are you

Contract
Pay As You Go

How much do you pay a month?

Upto £10
£10 -£20
£20+

Go straight to MyCharity Mobile to sign up
https://www.mycharitymobile.com/consumers/?charityNumber=1196690

Who is your sim with?

My Charity Mobile - we get a donation each month. Sign up now at https://www.mycharitymobile.com/consumers/?charityNumber=1196690
Giffgaff
Smarty
Other

THE IMPORTANT BIT!

I confirm that the evidence I uploaded has my name and address on it.

Yes, it has
No, it hasn't

I'm happy to fill in a feedback form

I agree

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.

Sign-up to our newsletter?

Save and Resume Later

Step 2

The form will be sent to me to process (please note, depending on how much there is in the accoutn, it could take upto 2 weeks as I run this scheme in my spare time.)

Step 3

Once I have requested the voucher , the voucher will be sent to you either via email or mobile (whichever one you gave me on the form)

Step 4

Once you have sent me the form, please download the evoucher app. (you will need this to access the voucher) and look out for an text with the link.