Self-Referral | FOL Welfare Website

FORCES ONLINE REFERRAL FORM

Please Note If your application included donations i.e. Laptops, Phones & Sims, Food Vouchers or other financial assistant please read our Policy HERE before completing the referral form below: You will need a copy of our income & expenditure sheet HERE

Client First Name
Client Surname
Clients eMail
Clients Phone Number	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
Clients Service Number
Service/Regiment
Date Served From
Date Served To
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.
Client Type	Select who is being referred
Reason for Referral Request	Please describe any secondary needs in the details below
Referral Details	Please give as much detail as possible
Previous support history	If you have been supported by an any armed forces/other agencies in the last 2 years please give full details. If none put noneincluding departmental details, and your job title, email and telephone number.
Name of Person filling out referral form	Please Complete if you are not the person named as the Client
Telephone Number of person filling out referral form	Please Complete if you are not the person named as the client
Email of the person filling out the referral	Please Complete if you are not the person named as the client
Client Permission	Please confirm that permission is in place otherwise we will contact you about this which may cause delays
Was this completed by a Forces Online Staff Member	Admin Use Only
Authorisation	Validation = Forces Online may check any information I have supplied relating to other organisations.
conditions	Reminder - if you are completing a request for donations such as laptops, phones & sims, food vouchers or other financial aid. You should have read the policy linked above and downloaded the income and expenditure sheet. All financial details will be required to complete the application. Any issues then please use our LiveChat to contact us. If you request is about anything else then please ignore the bank statement and Income & Expenditure information.
Bank Statement 1 (PDF)	Financial - If the referral includes financial support then please provide copies of bank statements.
Bank Statement 2 (PDF)
Bank Statement 3 (PDF)
Bank Statement image 1
Bank Statement image 2
Bank Statement image 3
Imcome & Expenditure Sheet