Make a referral

Refer someone for accommodation

For professionals and organisations supporting people facing homelessness. Complete the form below and our team will be in touch about suitable accommodation.

What happens next

Clear referral form
Provide the relevant information so our team can understand the individual’s circumstances and accommodation needs.
Reviewed promptly
We review every referral quickly and get back to you.
Handled confidentially
Information is treated securely and in line with our Privacy Notice.

Prefer to talk to us?

For urgent referrals, please call.

07503 544510 (9am–5pm)07894 397523 (out-of-hours)info@anytimehousing.co.uk

This form contains personal information about the person being referred. Please only provide information you are authorised to share. See our Privacy Notice for information about how personal data is handled.

Referrer details

Your details as the person submitting this referral.

Your name*

Email address*

Person being referred

First name

Last name

Date of birth

National Insurance number

Telephone number

Universal Credit

Does the individual have a Universal Credit account?

YesNo

Does the individual have an online Universal Credit account?

YesNo

Universal Credit payment dates

Enter the relevant payment date or dates.

Needs and circumstances

Mental health needs, issues or disabilities relevant to accommodation needs

Only include information relevant to identifying suitable accommodation.

Housing support

Housing officer contact details

Include the housing officer’s name and relevant contact details where applicable.

Duty to Refer (DTR) number

Emergency contact

Emergency contact name

Emergency contact address

Probation

Probation officer name

Probation officer telephone number

Probation officer email

By submitting this referral, you confirm that you are authorised to provide the information contained in this form. Please read our Privacy Notice for information about how personal data is handled. Fields marked * are required.