Get Support - Hull 4 Heroes

If you are serving personnel, a veteran or a family member and you are in need of support or assistance you can complete our online referral form. This will send our support team all of the information they require to process your request and offer the best help and assistance. Please rest assured that any information submitted is transferred via encrypted connection and all of your personal data will be treat with complete confidentiality. For further information please see our privacy policy.

You can download our Hull 4 Heroes support leaflet by clicking below. Our leaflet provides lots of information on the support we provide.

Referral Form

*Title

*Last Name

Gender

Date of Birth

NI Number

*Telephone

Status

Ethnicity

Religion

Service

Service Start Date

Reason for Leaving (if applicable)

Convictions

*First Name

Known as Name (if applicable)

*Address

*Postcode

Email

Housing Status

Occupation

Service Number

Type of Service

Service End Date (if applicable)

Medical Conditions

Conditions

Assistance required

Any further Information?

Data Protection: We will collect and hold your personal data solely for use in processing this referral, your data will not be shared with any other agency except those required to complete the referral process.

Consent to Release Information: By submitting this form you are agreeing that you understand the purpose of the referral and authorise the disclosure of relevant information to Hull 4 Heroes, statutory organisations and other necessary charities to provide the safe and correct assistance as required. You cannot submit a referal without the relevant consent.

*Consent to Release Information

Contact Us

If you would like to get in touch with us about getting support or if you would like to get involved please let us know.

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