Household referral

Who is referring?

Referrer name

Referrer organisation

Referrer email

Referrer phone

Household name

Household phone

Household address

Weekly food parcel

Note

Purpose: We use these details to assess the request for a food parcel and to reach the household.
Lawful basis: Your consent
How long we keep them: 2 years after the last contact, then deleted

I agree that my details are used for: We use these details to assess the request for a food parcel and to reach the household..Required