Referral Form

If you would like help to make a Change of Conditions application to request access to public funds, please fill out the below form and we will get in touch. We have a waiting list but we will ring you when we receive your referral to discuss your situation and will arrange an appointment with one of caseworkers as soon as possible.

Don’t worry if you don’t know all the requested information in the below form, just fill out as much as you can and we will get in touch.

If you have any issues completing the form, please get in touch at info@unity-project.org.uk.

Please note that the website provider (Squarespace) does not store any of the information submitted through this form. The Unity Project stores the information securely, please get in touch at info@unity-project.org if you would like to see a copy of our Privacy Agreement.

(if you are making a referral on behalf of someone else)
Caseworker
Caseworker
(If you are making a referral on behalf of someone else)
(If you are making a referral on behalf of someone else)
(if you are making a referral on behalf of someone else)
Name *
Name
Date of Birth
Date of Birth
If no, what is your preferred language or mother tongue? We usually contact people in English so please tell us if you need a translator.
Would you be interested in attending our workshops to learn how to write your own application?
We will provide more details about this option over the phone
Basis of Leave to Remain
When does your current leave expire?
When does your current leave expire?
This can be found on your pink Biometric Residence Permit (BRP) card
What is your current relationship status?
If you need to make a joint application with your partner, please give details about your partner's immigration status and their leave expiry if know:
Are you pregnant at the moment?
If you are pregnant, when is your due date?
If you are pregnant, when is your due date?
If yes, please specify:
Are you currently working?
What are the circumstances of your current accommodation?
For example, pregnancy, a relationship breakdown, difficulty finding work, etc.
For example, are you about to be evicted, or are you about to give birth?