select font size: A A A A
Make this website talk
Get textHelp - BrowseAloud
Delivering Excellent Housing Services
How to apply

How to Apply

 

How to apply for our Call Monitoring and Home Visiting services 

 

For more information on our First 4 Support services, please contact our Call Centre: 

Demand for our services is high and your details may be entered onto a waiting list. To see an overview of the services we provide, see our brochure using the link below.

 

pdf Download brochure

pdf Download application form

mouse Fill in this form to apply on-line: 

* Mandatory fields  
Client Name 1 *
DOB *
Client Name 2
DOB
Address *
Email
Telephone No
Telephone Supplier:
British Telecom   N.T.L   Other  
Electric Power Point available to use nearby
Yes   No  
Contact to arrange access
Telephone Number
Why do you feel that this service would be beneficial to you?
Please list details of your own and your partners health/medical factors
Useful Numbers

For housing advice

(01623) 608907

 

To make an appointment with your Housing Advisor

(01623) 608999

 

Anti-social behaviour hotline

0800 952 0193 (freephone)

 

Report your repairs

(line is open 24 hours)

0800 479 4999 (freephone)

 

First4Support call centre

(line is open 24 hours)

(01623) 608990

 

Textphone/minicom

(01623) 608989

 

Ashfield District Council after hours emergency line

(01623) 550077