COVID-19 Homelessness Response Fund
Community Interest Company
Company Limited by shares
Community Benefit Company
Charity or Community Benefit Society Register Number
Services you provide
Education and Employment
Health (Drugs, Alcohol, Mental Health)
Localism & Commissioning
Welfare Reform & Benefits
Current level of unrestricted cash reserves
Ignore reserves held in fixed assets
Are you a member of Homeless Link?
Do you work directly and predominantly with people experiencing homelessness?
Key Contact Information
The number we can contact you on next week
The email we can contact you on next week
Amount applied for
Local Authority where you are based or where you mainly operate
How did you hear about this fund?
Word of Mouth
Are you BAME led ?
Are you led by people with lived experience?
What is the net financial impact of COVID-19 on your organisation?
How has COVID-19 impacted your organisation's costs and/or income?
What will not take place as a result of financial impact outlined above?
Who are your primary beneficiaries and how has COVID-19 impacted them?
What will be the main outcome(s) if successful in receiving relief funding (between 1-3 outcomes only)
Bank Account Name
Bank Account Number
Bank Account Sort Code
Most recent full accounts
Upload letter or email of support from Local Authority
Please upload a bank statement from the last 3 months