Complete this form if you are a public body and would like to refer an individual who is homeless or at risk of becoming homeless.
For more information see Homelessness - duty to refer individuals.
This form is four pages long and should take 5 minutes to complete.
All fields marked with * are required
Preston City Council will use your information in a manner compatible with the General Data Protection Regulation (GDPR).
Any disclosures or sharing of information will only take place where required or permitted by law. For further information please see our privacy notice .
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