BASIC UNIVERSAL RESOURCE PLAN
PCCA have been pioneering our Basic Universal Resource Plan since March 2020 which enables us to deliver emergency food boxes to households who have had a significant drop in income due to the national lockdowns.

We deliver essential resources like food and medicine to the doorstep on a weekly basis.

If you need our help please register on this form then call 01672 487022 or email food@pcca.org.uk to let us know you've registered.

DATA INFORMATION

The data sent on this form is recorded in a Google spreadsheet, if you are uncomfortable with this please don't complete this form. It is only accessible by key PCCA volunteers and you will always be contacted first before your information is passed onto an individual who may be able to help. We are aware of data protections laws and GDPR but in the interest of helping people we implore you to not fill out the form if you are in any way unhappy with your data being used.

If you change your mind later, please let us know and we can delete you from the list. All data will be deleted when it is no longer needed.

Your data will not be shared or used for any other purposes without your consent.

We are just neighbours looking out for each other. We don’t have the capacity for safeguarding or criminal record checks. If you plan to let anyone you don’t know well into your home we strongly recommend you get proof of ID and ensure someone you trust knows the details first.
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First Name *
Surname *
Date of Birth
MM
/
DD
/
YYYY
Email Address *
Telephone Number *
Postal Address *
Have you had a significant drop in income due to the effects of COVID-19 and can you confirm you are not receiving any help from the government? *
If yes please explain your situation
How many people are there in your household?
Do you have any specific dietary requirements?
Have you applied for Universal Credit, Self Employed Income Support, have you been furloughed or are any other government funds? *
Agreement *
Required
Useful Links and Telephone Numbers
Pewsey CCA - https://pcca.org.uk/ - 01672 487 022
Citizens Advice - https://www.citizensadvice.org.uk/
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