Northshire Council · Housing Support Team
Housing support referral
Refer a client to the Housing Support Team. Fields marked optional can be left blank.
1. Client
Title
First name
Last name
Date of birth
National Insurance number
Client ID
Preferred language
2. Contact
Telephone
Email
Preferred contact
Choose…
Phone
Email
Letter
Address
Postcode
Client consents to information being shared with partner agencies
3. Case
Case reference
Case type
Date opened
Allocated worker
Risk level
Choose…
Low
Medium
High
Status
4. Household members
Name
Relationship
Date of birth
Add member
5. Landlord or other organisation (optional)
Organisation name
Company number
Registered address
6. Reason for referral
Background and case notes
Submit referral