Praxis Community Projects - Referral form: European Settlement Scheme support
Praxis is providing support to EU citizens and family members of EU citizens who need support applying to the EU Settlement Scheme due to homelessness or risk of homelessness, elderly persons, people of a Roma background, mental or physical health issues/disability, gender based/ domestic violence, and/or others who may have difficulty in accessing the scheme.

If you are in one of these categories, please contact us using the form below. If you are not in one of these categories, please also contact us using the form below and we can provide you with information about the Scheme and refer you to another service if possible.

Your first name (client) *
Your answer
Your family name (client) *
Your answer
Have you ever been to Praxis before? *
Do you need an interpreter?
If yes, please state which language:
Your answer
Telephone number *
Your answer
Email (if you have one)
Your answer
What is your gender? *
What is your nationality? *
Your answer
Do you have an original and valid ID document?
If no, do you have a copy?
When did you arrive in the UK? (month/year) *
Your answer
Do you have any dependents? *
If YES, how many?
Your answer
What are their nationalities?
Your answer
Do you have any issues with housing/homelessness?
Do you have any issues around domestic violence or gender-based violence?
Do you have any issues around health, mental health or disability?
Are there any other reasons you are having difficulty in making an EU Settlement Scheme application?
Your answer
I agree to Praxis processing and storing my data (client) according to their privacy policy: http://www.praxis.org.uk/privacy-policy-page-69.html *
Have you completed this form on behalf of someone else?
If yes, please provide your name, organisation (if any), phone number and email address
Your answer
I agree to Praxis processing and storing my data (client) according to their privacy policy: http://www.praxis.org.uk/privacy-policy-page-69.html *
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