Vulnerability Self-Declaration

Vulnerability Self-Declaration form

Chandlers understands that some of our customers have medical or personal circumstances that affect them or their household and, in these cases, we can provide extra support through our dedicated Welfare Team.

The sooner you tell us that you or your household need extra support, the sooner we can help you.

Please fill out the form below, giving as much detail as you can, as this will help us to help you.

Our Welfare Team will contact you when they have received and reviewed this information, but if you are worried and need to reach us urgently, you can call 020 8290 5055.

Vulnerability Self-Declaration
Your Name:*
Address:*
Chandlers Reference:*
Postcode*
Email*
Phone*
Please tell us about any medical or personal circumstances that mean you or your household require extra support.
Self-Declaration*
We ask that you kindly attach copies of documents or photographs that confirm what you have told us. This could include copies of letters you have received from your Doctor or other medical specialist, prescriptions, details of benefits awards, Police crime report etc
*
Drop files here or
Please note that enforcement action is continuing until our Welfare Team has received your form and contacted you to discuss your case. I give my permission to store and process my data.
Email
This field is for validation purposes and should be left unchanged.