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Anchor Resident Support Fund carpets application form

Anchor Resident Support Fund

Application form for carpets

If you would like to apply for our Anchor Resident Support Fund, please complete the form below.

Carpets

We will make a contribution towards the cost of carpeting one room, up to a value of £500, where there is no carpet currently in place and you can demonstrate the ability to pay any remaining balance. We will ask you to provide a receipt.

Along with your application we ask that you send 2 quotes to [email protected] for the room that you wish to carpet.

Once your application has been approved we will issue a voucher to withdraw cash at the Post Office or a PayPoint store. You can then use the money at a flooring or carpet retailer of your choice.

Please note that we may ask for proof of your income and savings before issuing your voucher. We may also contact your Location Manager to verify your request.

We are unable to process your application until we have received your quotes.

We aim to respond to your request within 7-10 business days.

Application Form

Please tell us, are you:

An Anchor resident

Local manager

Customer services colleague

Other…

Your name (if not an Anchor resident):

Title

First

Last

Resident's name:

Title

First

Last

Please select resident's ethnicity:

We are collecting this information to ensure equal and fair access to our resident support fund and better help us serve residents in the future.

Asian or Asian British

Black, Black British, Caribbean or African

Mixed or multiple ethnic groups

White

Other ethnic group

Resident's address:

Address

Address 2

City/Town

Post Code

Contact details

Preferred contact number for resident:

(please note, we may contact you regarding your vouchers)

Email address for resident:

Is the person you are referring aware of this referral, and have you gained their consent?

Yes

Voucher details

Please note, if you do not provide sufficient details to support your application, it may be delayed and we may ask you to submit your application again.

Which room do you want to carpet? What are the room measurements (in meters)

How would you like to receive your voucher?

(Please note that energy vouchers are only available by email and text. Food, clothing and white goods vouchers sent by post will take longer to arrive)

SMS (internet access required)

Delivery via local manager

Post

To help us provide the best support select the reason for your application:

Please email two quotes to [email protected] and tick below to confirm you have done this

I confirm that have emailed two quotes to [email protected]

Additional information

To help us send you information that you might find useful, please let us know the following:

Do you currently receive any benefits?

Yes

Please let us know which benefits you currently receive:

Please tell us how much money you currently have in available savings*

*savings are defined as immediately available in funds in either current accounts, savings accounts or cash, which are not already due to be spent on a priority expenditure for example: rent or a utility bill

Do you have a disability or long-term health condition?

Yes

Does anybody else live in the property?

Yes