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Arc Self Referral Procedure and Forms

Whilst we always advise anyone facing homelessness to visit their local council, there is the option for a self referral to our services, if you are in need of supported accommodation.

Visiting your local council:

If you are experiencing homelessness in Somerset, it is always recommended to first get in touch with Somerset Council. This will allow the council to make an assessment of your circumstances and help you in the most appropriate way. This may be offering you council or other social housing options, or it may be that they make a referral to services such as Arc.

To find out more, visit this website: Homelessness and prevention
To make a homelessness application to the council, click here: Homelessness referral and assessment

If you are outside of Somerset, please visit the website of the council that is local to you.

Self Referral to Arc:

We can also accept self referrals to our services. You can do this if you are homeless and in need of support. You can either use the downloadable form below, or the online form to the right. Once a referral form is received, we will add you to our current waiting list. When we have availability, we will contact you to set up a face to face appointment to discuss your needs and assess your suitability for Arc's accommodation. We will try to keep you updated during the process but if you are ever unsure, please call our housing advice line on 01823 271326 option 2.

Downloadable self referral form

Support with your form:

If you need support in filling out either form, we can assist you in doing so over the phone. Please contact us on 01823 271326 option 2 or email [email protected]

Full Name:
Date of Birth:	Today
Gender:
Contact Number:
Email Address:
National Insurance Number:
Do you have a local connection to the area?:
If yes, please explain:
Are you currently:	Homeless (Rough Sleeping) Homeless (Sofa Surfing) Living in Support Housing Living with Family or Friends Living in a Council Property Living in Housing Association Accommodation In Private Landlord Accommodation Other
How long have you been homeless for?:
If you are not already homeless, when do you expect to become homeless?:
Please give the reasons you are homeless:
Previous Accommodation details:	Please include date from, date to, type and location of accommodation, and the reasons for leaving
Are you currently claiming any benefits?:
If yes, please state what you are claiming:
Date of next payment (if claiming):	Today
Do you have any debts/rent arrears?:
If yes, please give details:
Do you have any savings?:
If yes, please give details:
Do you have any physical health or accessibility needs?:
If yes, please give details:
Do you have a history of, or any current mental health issues?:
If yes, please give details:
Do you have a history of, or current substance misuse?:
If yes, please give details:
Do you have a history of violence or aggressive behaviour?:
If yes, please give details:
Do you have any history of Criminal Offending or Custodial Sentences?:
If yes, please give details:
Are you engaging with Social Services?:
If yes, please give details:
Are you engaging with any Support Services?:
If yes, please give details:
Are you registered with a GP?:
If yes, which practice are you registered with?:
Are you on any medication?:
If yes, please give details:
Do you have any pets?:
If yes, please give the pet's details:
Please give any other information which you think may help us to find the right accommodation and support for your needs:

Arc Self Referral Procedure and Forms

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