Local Assistance Scheme Enquiry

To help us ensure that your enquiry is a genuine customer contact, please tick the box and follow any further instructions. You may be asked to solve a problem that would be difficult for a robot to solve. If the problem is too difficult, click the icon below the challenge to be presented with a different problem.

Verification

Use this form to submit an enquiry about your Local Assistance Scheme application

Have you already submitted a Local Assistance Scheme application?

Please select a type of Local Assistance Scheme enquiry

We aim to issue a decision on your application form within 2 working days

Has two working days passed since you submitted your application?

Are you querying a decision that has already been made?

Please provide details of your enquiry for response

Are you disputing an award or a refusal?

Please provide details of which items you disagree with, or what additional items you require.

To provide further details why you believe you meet the criteria to be considered for an award from the Local Assistance Scheme, please answer the following questions. Please click this link to find details of the income criteria under "Qualifying conditions". Please ensure you read the income criteria before continuing this form.

Have you read the income criteria information?

Do you meet the income criteria?

Please confirm how you meet this criteria

i) Normally only one award from the Local Assistance Scheme can be considered within a 12 month period unless there are exceptional circumstances.

Have you already received an award within the last 12 months?

Please explain why your circumstances are exceptional

ii) If your request was for daily living expenses to help meet a short-term need for goods and services, we can only consider awards for these expenses where the need has arisen due to an emergency, disaster or unforeseen circumstances.

Is your request for daily living expenses?

Please explain how your need for daily living costs has arisen

iii) Furniture and white goods

Is your application for furniture and white goods?

Is the request to help you remain in the community or move back into the community after a period in supported or temporary accommodation?

Are the items required as a result of a disaster, such as fire or flood?

Please explain what circumstances have led to your need for these items

iv) Replacement items / improve your living conditions

Is your application to request replacement items or to improve your living conditions?

Do you have a support worker?

Title

Forename

Middle name(s)

Surname

Name of Organisation

Email address

Contact number

Your original award email provides information about timescales and how your award is delivered, please refer to your award email.

Have you checked your award email and does this resolve your query?

Please provide details about your issue and the items the query relates to

Please note, contact and personal information will be collected on another page.

If you would like more information on the Local Assistance Scheme, please click on this link.

Have you read the above linked Local Assistance Scheme information page?

Did you find the information to answer your query?

Please provide as much information regarding your query as possible.

Please note, contact and personal information will be collected on another page.

Are you completing this enquiry on behalf of someone?
For example, in the capacity as a support worker

As you have indicated you are completing this enquiry on behalf of the applicant, please provide your details below.

Title

Forename

Middle name(s)

Surname

Are you a support worker, or work for a relevant organisation?

Name of organisation

Email address

Contact number

Title

Forename

Middle name(s)

Surname

National Insurance Number

Property name or number

Street

Locality (e.g Armthorpe)

Town

Postcode

Email address

Contact number

Please use this section to upload any supporting evidence
Upload instructions

You are only able to upload one document per upload field
Acceptable file types are doc, docx, gif, jpeg, jpg, pdf, png and tif.
Please do not use special characters in file name of the document you upload

Please upload any supporting evidence here

If you would like to apply for the Local Assistance Scheme, please click on this link.

Please allow 2 working days for us to deal with your application

As you have found the information you were looking for you do not need to submit your enquiry