Cost of Living Support - Request Form

Please complete with the information of the person who needs support.

Name Telephone Number Confirm Telephone Number First line of address Postcode Date of Birth Email Address Confirm Email Address Information Sharing Agreement

To get you the support you need, we will share these details with other teams and organisations. This might include council teams who can give financial support, charities providing food parcels, the family hub who can give advice about children's activities, and others. We will never publish personal information, and will only share it with organisations who can help you. If you do not want to share this information, the team will be unable to contact you or offer support. Please close this form and return to our website to find the information that might be able to help you.

Your data will be processed securely under the Data Protection Act 2018. Newcastle City Councils Privacy Notice can be found here Privacy Notice

Do we have your permission to share this information?

 Yes

Are you the person who needs support?
 Yes
  No