Covid Covered - Loughborough Self Isolation Support Form
This service is available for anyone who has been made to self isolate due to the Coronavirus pandemic and is unable obtain essential items. This includes the elderly, vulnerable, NHS frontline staff and Key Workers as identified by the Government.

Please use this form to provide as much information as possible about your needs and requirements. We will try our best to respond within 24 hours. It may not be possible to deliver all items requested due to availability.

Deliveries are done by selfless volunteers within the Loughborough community.
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Name *
Telephone number *
Full Address *
What is required (essential items only) *
Are you able to make any payment for the items? *
Additional information - please provide a short description of your circumstances *
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