Ask for help

Going through a hard time, or know someone who needs help? Fill in this form. It doesn’t commit you to anything.

You are making this request

Give at least one way to reach you.

How would you like to be contacted?
Needs (choose as many as apply)

For example overdue rent or a bill to pay. Leave empty if you don’t know.

Timeframe
Steps already taken (choose as many as apply)

So that we can review the request, explain: what is happening and since when; what caused the difficulty (job loss, separation, delayed benefit…); what you have already tried; what would help most. At least 200 characters, about 4 or 5 sentences. Please don’t include medical details or identity or bank document numbers: we will ask for them securely if needed.