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The immediate needs support charity for Veterans
who find themselves battling hardship and distress

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The Sustain Programme Referral Form

This form is only to be used by approved partners to make referrals to The Sustain Programme

Referring Organisation

Caseworker/Staff name

Caseworker Email

Organisation/Staff Phone Number

First Names

Last Name

Date of Birth

Which Gender Do You Identify As? *

Female

Male

Email

Home Phone

Mobile Phone

FULL Home Address of client (please incl. house/flat number, street and town)

POSTCODE

Relationship Status *

Single

Single Parent - Full Custody

Single Parent - Shared Custody

Married/Living With Partner - no dependants

Married/Living with Partner and Children

Divorced/Seperated

Widowed

How many children do you have that live with you (either shared custody or full-time)? *

No children

1 Child

2 Children

3 Children

4 Children

5 Children

More than 5 Children

Military Service *

Royal Navy

British Army

Royal Air Force

Service Number

Which unit/ship/sqn did you serve with? i.e. HMS Ark Royal, 165 Regt RLC or 2 Sqn RAF Regt

Enlistment Date

Discharge Date

Verification of Service (pdf)

Upload a pdf

or

Verification of Service (jpeg)

Upload an image

Please upload verification of service. If you cannot complete this step, please email the documentation to contact@veteranscharity.org.uk

Charity Registration: 1123149

Company Registration: 6484880

Founded: 2008

© 2024 The Veterans Charity

2014 Confederation of Service Charities

The Veterans Charity, Seven Brethren Bank, Barnstaple EX31 2AS

We are committed to delivering the highest standards and aim to ensure that all aspects of our work reflect this. Any concerns should be addressed to us in writing to the above address, by email to contact@veteranscharity.org.uk or by telephone on 01271 371001.

Read our Complaints policy

We take the privacy of our supporters and beneficiaires very seriously. We have updated our Privacy Policy to comply with the latest GDPR guidelines.

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