Brighton Coronavirus Support - ACORN
*Complete this form if you require assistance. There is another form at if you wish to volunteer*


The details in your form will be passed onto our large group of local volunteers, and one will respond to you.

A volunteer will take up your request by calling you, so please make sure you check you have provided the right number. Please note:

- Volunteers will never need to come into your house.
- If you need a delivery, they will deliver to your doorstep and call you when they are doing so, so that you can pick it up immediately after they are at a safe distance.
- The financial arrangements between you (the way that you pay back the volunteer for the costs they have incurred; when you pay them back) are entirely between yourself and the volunteer as two free individuals. We ask for people to set a £20 limit per assistance.

Please note, due to the emergency nature of this work, we are unable to do background checks on our volunteers. Volunteers are requested to sign a data agreement and are only given access to your contact details after signing our volunteer form. In the unlikely event of a problem, please contact and we will report the volunteer to the police.
First Name *
Telephone *
Neighbourhood *
Postcode *
What support do you require? *
If you need supplies, how can you pay? (tick any)
Repeat help from the same volunteer
If you will need help on more than one occasion and would like the same volunteer to help you each time, then this may be possible to arrange at the volunteer's discretion once they have contacted you. If your preferred volunteer isn't available for repeat help, or is unable in a given instance, please fill out this form in again for each occasion.
Data agreement
By pressing submit, you consent to your details being shared with volunteers who will contact you and ask you questions about your needs, and arrange support. Please do not provide any sensitive details on this form that you would not wish to divulge.

Our volunteers are asked to read and consent to our General Data Protection Notice. Nonetheless, whilst we do our best to support volunteers, volunteers are self-selecting and not processed by ACORN.

For further info, contact
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