Apply for Sanctuary Scheme Grant

Sanctuary Scheme Referral
The details that you provide on this form will be passed to the Council’s officer who administers the Sanctuary Scheme.

This will allow them to carry out the initial property survey, the target hardening work, and where requested signposting to a relevant support provider.

The information will be used for evaluation purposes only and no personal information will be shared unless in relation to this application.
Fields marked with * are required
Are you making this referral for yourself or for someone else?*
1. Myself
2. Someone else
Referral Details
1. Reason for referral*
  You can enter up to 2000 characters
2. Please provide the date of the last incident and what happened*
  You can enter up to 2000 characters
Risk level as per current DASH. Please note we cannot accept referrals from partners/professional agencies unless a recent DASH has been completed. Please select as appropriate
1. Medium
2. Standard

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