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Arc Self Referral Procedure and Forms

Whilst we always advise anyone facing homelessness to visit their local council, there is the option for a self referral to our services, if you are in need of supported accommodation.

Visiting your local council:

We can also accept self referrals to our services. You can do this if you are homeless and in need of support. You can either use the downloadable form below, or the online form to the right. Once a referral form is received, we will add you to our current waiting list. When we have availability, we will contact you to set up a face to face appointment to discuss your needs and assess your suitability for Arc’s accommodation. We will try to keep you updated during the process but if you are ever unsure, please call our housing advice line on 01823 271326 option 2.

Self Referral to Arc:

We can also accept self referrals to our services. You can do this if you are homeless and in need of support. You can either use the downloadable form below, or the online form to the right. Once a referral form is received, we will add you to our current waiting list. When we have availability, we will contact you to set up a face to face appointment to discuss your needs and assess your suitability for Arc’s accommodation. We will try to keep you updated during the process but if you are ever unsure, please call our housing advice line on 01823 271326 option 2.

Download Self Referral Form

Support with your form

If you need support in filling out either form, we can assist you in doing so over the phone. Please contact us on 01823 271326 option 2 or email referrals@arcinspire.co.uk

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Online Self-Referral Form

Below is an online version of our self-referral form for those who may have difficulty accessing or returning the downloadable self-referral form.

    1. Your details
    2. Your finances
    3. Your health
    4. Your background
    5. Final details
    Do you have local connection to the area?
    Are you currently:

    Are you currently claiming any benefits?
    Do you have any debts/rent arrears?
    Do you have any savings?

    Do you have any physical health or accessibility needs?
    Do you have a history of, or any current mental health issues?
    Do you have a history of, or current substance misuse?

    Do you have a history of violence or aggressive behaviour?
    Do you have any history of Criminal Offending or Custodial Sentences?
    Are you engaging with Social Services?
    Are you engaging with any Support Services?

    Are you registered with a GP?
    Are you on any medication?
    Do you have any pets?