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Housing Options self-referral form

This form will be sent to the Homelessness Prevention Service upon submission.

It will be allocated to an officer within 24 hours Monday to Friday. An officer will contact you within two working days.

The form will take ten minutes to complete. If you do not submit the form no action will be taken.

If you are homeless and have nowhere to sleep tonight please call 020 8489 1000

If you have any difficulties filling out the form please call 020 8489 1000

A * next to a question means the question must be answered before you can move on.

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