Please note - The floating support services for CAMBRIDGE CITY, SOUTH CAMBRIDGESHIRE AND HUNTINGDON are now at capacity and unable to take new referrals. Referrals made to this area will not be processed. This is a temporary measure. Please check back soon for future referrals. If you or the person you’re referring are at imminent risk of homelessness please call the team on 0808 169 8099 or present to your Local Authority

Cambridgeshire & Peterborough Referral Form..

You are making a referral to P3’s community housing support service for residents of Cambridgeshire and Peterborough. We provide support for people who may be at risk of losing their homes or accommodation, including providing advice and information on maintaining tenancies, tackling debt and staying independent. If you need support, or would like to refer someone, then please complete this online referral system. If you need support with your referral, or have any questions, please call Freephone 0808 169 8099 (lines open Monday-Friday, 9am-5pm) or email CPFSS@p3charity.org.

Who are you making a referral for?

We use this information to ensure the correct provision is allocated to you.

In which area are theyyou currently residing?

We use this information to ensure our service is right for your circumstances.

Please let us know theiryour current accommodation circumstances.

We use your date of birth to confirm you meet the minimum age requirements for this service.

Are theyyou aged 16 years or over

Please enter theiryour date of birth in the box below

Not Sure?

We use this information to ensure our service is right for your circumstances.

Please select one or more that apply?

Please select one or more that apply?

We use this information to establish how best we can help you, and to ensure you meet the eligibility requirements to receive support from our service. This information is also used to allow us to prioritise your case based on the information and circumstances you provide.

Please select one or more that apply?

We use this information to establish how best we can help you, and to ensure you meet the eligibility requirements to receive support from our service. This information is also used to allow us to prioritise your case based on the information and circumstances you provide.

What housing related support do you feel is required?

We use your name in order to address you when responding to or contacting you about your referral.

We use your relationship to the individual being referred to monitor the sources of our referrals and to ensure we are aware of you as a key contact for the individual being referred.

We use your organisation details to monitor the sources of our referrals and to help us contact you if we need to.

We use your telephone number and/or email address to keep you informed about your referral, and/or to contact you to clarify or discuss any information you may have provided.

Referrer Details

We use your name in order to address you when discussing your referral and any future correspondence or communication in relation to your support.

We use your contact details to contact you directly about your support.

We use your address information to ensure we can locate you when providing support, and to verify your residential status in PeterboroughCambridgeshire.

Your Details

What gender do you identify with:

Ethnicity:

How should we contact you? Please provide one or more of the requested contact details:

Your address/current residence

We use telephone and/or email address details to contact the client directly about their support.

We use address information to ensure we can locate the client when providing support, and to verify their residential status in Cambridgeshire/Peterbourgh

We use the accessibility needs information to ensure we can adapt our service, support, and contact arrangements to fit any accessibility requirements you may have.

Client Details

What gender does the person you are referring identify with:

Ethnicity:

How should we contact the client? Please provide one or more of the requested contact details:

Their address / current residence

Is there any additional support needed to access the service?

We use this information to allow us to understand what it is you need help with, and to ensure we can correctly prioritise you if a waiting list is currently in operation.

Their CircumstancesYour circumstances

Please select all circumstances that currently apply

We use this (optional) information to make contact with professionals with whom you are already involved with, to ensure we compliment any existing support you may be receiving and to prevent duplication or repetition.

Are there any other organisations or professionals involved in supporting the individualyou?

Data Consent

P3 will hold the details provided in this referral on a secure database. Please click the accept button below to provide us with your permission to do this. If you are submitting a referral on behalf of somebody else, please click the accept button below to confirm they have consented to this referral being made and give their permission for us to store the details you have provided.

Colour Scheme: