Welfare support referral form

Our welfare support services are now open again. Please note that to make referrals you must now be a registered referral agency with us – please contact ben@innchurches.co.uk for a registration form.

Successful Acts435 referrals will now be paid by bank transfer to the referral organisation, rather than in cash. Full details are on the registration form.

Please bear with us as the service may run at limited capacity to begin with.

Please use this referral form to refer individuals into our Starter Pack or Acts435 services.

Referrals must be made by one of our recognised referral agencies. If you would like to discuss becoming a recognised referral agency, please contact us before making a referral.

Warm Homes Healthy People referrals usually run during the winter months, details will appear here when they open.

More information about services:

Warm Homes Healthy People is a free service which helps people who are homeless, vulnerable or poorly housed to keep ...
Read More
Acts435 support aims to crowd-fund support for individuals of up to £150 towards specific household equipment, white goods, furnishings, essential ...
Read More
Starter Packs are for people moving into tenancies from hostels or the streets, and contain bedding and household items. They ...
Read More

Important notes

Please note that Starter Packs and Acts435 crowd-funding are only available once each to any individual, and if a referral is accepted it must be collected by the referral agency and not the person being referred.

Starter Packs

Please note that Starter Packs are funded by charitable giving and therefore we are only able to offer them to single individuals moving from rough sleeping or temporary shelters/hostels to their own tenancies.

Referrals can take up to a week to be processed. You will be notified when your pack is ready to collect – please do not try to collect before then. Collections should ideally be made between 8am-4pm Tue-Thu.

Starter Packs must be collected within three weeks of being notified or you will have to make a new referral.


Acts435 referrals should be for a specific, costed, item (or items), up to a maximum value of £150. If you put a referral in for items exceeding this value, it will delay your application.

You, as the referral agency, will be responsible for ensuring that the money is spent promptly on the item requested and receipts provided for the full amount.

We can only process one Acts435 referral per referrer at a time, and we do not take referrals for bonds or rent payments.

Acts435 is a crowdfunding service and is not guaranteed. Successful funding usually takes at least 3 weeks to obtain, and may be up to 5 (or not at all).

The referral

This form should be completed by an individual working at a recognised referring organisation (the "referring agent") on behalf of the intended recipient (the "applicant").

Fields marked * are required.

Referrals being made

Please select one or both options: *

Applicant details

Please give details of the intended recipient.

Starter pack referral

Starter Pack items requested

Please note that Starter Packs are for individuals, not families. Pack contents may vary due to availability and may include good quality donated items.


Please tick required items and select size.

DuvetBedding setPillows

Household items

Please tick required items.

CrockeryPansCutleryCooking utensilsKettle

Acts435 referral

Referring agent

Please give your details.



This should be completed by you as the referring agent.

Diversity monitoring

This information is optional and for monitoring purposes only. It will not be considered when assessing the referral.

Please note that our warehouse, café and offices are closed to all visitors. More details