The immediate needs support charity for Veterans
who find themselves battling hardship and distress

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Support Request/Referral Form

The Veterans Charity provides support to Veterans of the UK Armed Forces. The recipient of our support must be a Veteran of the UK Armed Forces who has completed a minimum of 6 months service (exceptions made for those who served with WRAC/ATS. Verification of service is required in order to obtain support.

Please be sure to complete the form in full, providing all personal and contact details, service background and give as much information as possible about the support being requested and why it is needed.

Please complete all sections and provide as much information as possible. Once your form has been submitted and received, it will be reviewed by a member of the team.

All information is treated in the strictest confidence and NEVER shared with anyone else without your prior permission.

We are a small team and at busy times, there may be a delay in reviewing your form. Thank you for your patience. We cannot guarantee that support will be provided in all cases, which are assessed on a case-by-case basis.

PLEASE NOTE - WE DO NOT PROVIDE FINANCIAL GRANTS, FUNDING OR LOANS.

Are you? *

A Caseworker/Staff making a referral

Veteran making a self-referral

Relative/friend/carer making a referral on behalf of a Veteran

Referring Organisation (if you are making a referral)

Caseworker/Staff name

Caseworker Email (if applicable)

Organisation/Staff Phone No. (if applicable)

Please provide details of any support offered/provided by you to the client

Please let us know how you heard of The Veterans Charity i.e. name of organisation who gave you our details, social media, friend/family member, internet search, leaflet etc

First Names

Last Name

Date of Birth

Which Gender Do You Identify As? *

Female

Male

Home Phone

Mobile Phone

FULL Home Address (please incl. house/flat number, street and town)

POSTCODE

Relationship Status *

Single

Single Parent - Full Custody

Single Parent - Shared Custody

Married/Living With Partner - no dependants

Married/Living with Partner and Children

Divorced/Seperated

Widowed

How many children do you have that live with you (either shared custody or full-time)? *

No children

1 Child

2 Children

3 Children

4 Children

5 Children

More than 5 Children

Military Service *

Royal Navy

British Army

Royal Air Force

Service Number

Which unit/ship/sqn did you serve with? i.e. HMS Ark Royal, 165 Regt RLC or 2 Sqn RAF Regt

Enlistment Date

Discharge Date

Upload a pdf

or

Upload an image

Please upload verification of service. This is required in order for us to be able to consider a referral. If you cannot complete this step, please email the documentation to contact@veteranscharity.org.uk

Charity Registration: 1123149

Company Registration: 6484880

Founded: 2008

The Veterans Charity, Seven Brethren Bank, Barnstaple EX31 2AS

We are committed to delivering the highest standards and aim to ensure that all aspects of our work reflect this. Any concerns should be addressed to us in writing to the above address, by email to contact@veteranscharity.org.uk or by telephone on 01271 371001.

Read our Complaints policy

We take the privacy of our supporters and beneficiaires very seriously. We have updated our Privacy Policy to comply with the latest GDPR guidelines.

The immediate needs support charity for Veterans who find themselves battling hardship and distress

Support Request/Referral Form

or

The immediate needs support charity for Veterans
who find themselves battling hardship and distress