Referral – FOL Welfare Website

Please use the form below for an initial support Enquiry

There may be times when Forces Online may need to work with other agencies to support your case and this may involve information sharing. (See the authorisation at the end of the form). PLEASE NOTE if you are an agency looking for the Phones for Veterans application it is HERE

Client First Name
Client Surname
Email (beneficiary)
Phone Number (beneficiary)	Your primary contact number
Emergency Contact Number/Who
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
Date Served From
Beneficiaries Service Number
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.
Was this completed by a Forces Online Staff Member	Admin Use Only
Have you received support from the following (Please Tick) in the last 10 years	Have you received support from the following (Please Tick) in the last 10 years Royal British Legion SSAFA Help for Heroes Combat Stress Veterans UK
If any ticks above what for with dates if possible	Please ensure you tell us briefly about previous support - deliberately not declaring information or misleading Forces Online could delay or invalidate your application.
Support from other Armed Forces Organisation in last 10 years (Yes/No)
If Yes please give details	Please ensure you tell us briefly about previous support - deliberately not declaring information or misleading Forces Online could delay or invalidate your application.
Please confirm these details are correct	Checks may be made on the information supplied, and we cannot support you if you are subject to a live case with another organisation.
Authorisation	Validation = Forces Online may check any information I have supplied relating to other organisations.
Name of Beneficiary or Authorised Guardian	BENEFICIES/GUARDIANS PLEASE READ. - By adding my or my guardians name to this form I authorise Forces Online to pass any relevant details to third party organisations or agencies that can support my case. I understand that Forces Online may need an email of consent and that this may include ensuring the I know that someone has asked for support on my behalf.
Contact Name (Agency)
Job Title (Agency)
Email (Agency)
Organisation (Agency)
Tel. No (Agency)
Agency Address
Beneficiaries Permission	Please confirm that permission is in place otherwise we will contact you about this which may cause delays
Confirmation of Service	Everything below relates to the beneficiary. Please ensure this is addressed otherwise we will contact you about this.
Your Surname (Family)
Your First Name (Family)
How are you related to Beneficiary
Your Phone Number (Family)
Your Email Address (Family)
Please confirm whether the beneficiary knows about this.	Everything below relates to the beneficiary.
Your Name (Colleague)
Your Email (Colleague)
Your Tel. No (Colleague)
How do you know the beneficiary
Permission - Does the beneficiary know about this	Everything else below relates to the beneficiary
Name of Staff Member
Staff email address
Referral Taken by

Warning by clicking Sign Up you are confirming that the details you have entered are correct fraud act 2006 explained

You will receive a notification email just to let you know a member of the team will review your request and get back to you within one working day of your request. (i.e. Monday – Friday)

PLEASE NOTE: Forces Online CIO is not an emergency service

If you are in need of immediate support i.e. you are in danger of harming yourself through your current Mental Health Stability we recommend that you contact the emergency services on 999 or the Samaritans on the number below: