internal referral – FOL Welfare Website

Registered Forces Online Member Details	Please add username from https://www.forcesunited.info shown in account details (leave blank if unregistered).
Client First Name
Client Surname
Email (beneficiary)
Phone Number (beneficiary)	Your primary contact number
Emergency Contact Number/Who
Do you use the NHS App
DOB
Address Status	If Homeless please say which County and leave the rest blank.
Address
City
County
Post Code
Reason For Enquiry	What is the Reason for Contacting the Forces Online Friendship/Welfare Team
Beneficiaries Armed Forces Status	Select who is being referred
Beneficiaries Service Number
Date Served From
Date Served To
Service/Regiment
Service Status
Proof of service (file)
Proof of service (image)	This will speed up your referral. Without this we would need to send you a form for further details for us to approach the MOD for proof of service, which may then take a couple of weeks before we can offer any support.
Name of Staff Member
Staff email address
Referral Taken by