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Community Information & Support – Professional Referral

If your client requires specialist benefits advice, please refer to Citizen’s Advice Worcester.

Referrer's Details

Name of agency *

First Name *

Last Name *

Email Address *

Phone *

Client's Details

Name *

Email Address *

Phone *

Postcode *

What is your client looking to get support with? (tick all that apply) *Benefits applicationsConnection & socialisingDebtFinance / income maximisationHome energy efficiencyJob searchingOther

If other, please provide details

What is your client hoping to achieve from accessing our support? *

Does the client have any ongoing restrictions, court orders or conditions in place that may prevent them from engaging with this service?

If yes, please give brief details.

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Worcester Community Trust is a registered charity 1112342
Registered Company Number 04722577

Registered Office:
The Green Centre,
Gresham Road, Dines Green,
Worcester, WR2 5QS

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