Apply for Grant - Guildhall Feoffment Relief in Need

Section 1 – Your Details

Full Name*

Your Address*

Your Postcode*

Your Phone Number (Home)*

Your Phone Number (Mobile)

Your Email Address*

Date of Birth*

Marital Status (optional)

Section 2 – Eligibility

How long have you live in Bury St Edmunds / the Borough of West Suffolk?*

If you have not lived there long, how long have you lived at your current address?

Section 3 – About Your Application

What are you applying for help with?

Please tell us what you need support for*

How would this grant help improve your situation or reduce hardship?*

How much are you applying for?*

Section 4 – Financial Information

Employment

Are you currently employed?*

If yes, please give your role and how long you have been employed

If retired or unemployed, what was your previous occupation?

Income & Savings

Do you have savings?*

If yes, approximately how much?

Monthly Household Income

Please include wages, pensions, benefits, or other support

State Pension

Do you receive a State Pension?*

If yes, state pension amount per week

Other Benefits

Do you receive any other state benefits?*

If yes, please give details and amounts

Financial support from family/others?*

If yes, weekly amount

Do you own or rent your home?*

If renting, monthly rent

Total weekly income (all sources)*

Financial Support from Family or Others

Financial support from family/others?*

If yes, how much support do you receive?

Housing

Do you own or rent your home?*

If renting, monthly rent

Other Significant Outgoings

Please tell us about any major regular expenses (other than rent and utilities).

By submitting this form: You agree to the processing of the submitted personal data in accordance with the Privacy Policy.

Apply for Grant – Guildhall Feoffment Relief in Need

Section 1 – Your Details

Section 2 – Eligibility

Section 3 – About Your Application

Section 4 – Financial Information