Individual Application Form

Individual applications must always be made through a third party supporting agency such as a church, social worker, key worker, NHS, Hackney Council, employer, housing provider, GP surgery, or the East End Citizens Advice Bureau; details of whom need to be added to the online form; unless you are a nurse or midwife, or trainee nurse or midwife, applying for an individual grant, in which case a professional reference letter from your employer would act as your third party support, and you would also need to add their information to the online form.

Individuals must provide evidence of their postal address, such as a copy of a utility bill, statement, tenancy or license agreement.  You will be asked to upload a scanned copy of these documents on the application form or you can email them to us separately.

The Trustees have agreed the guideline amounts below for certain household items.  Please bear this this in mind when submitting your application:

£120Single bed
£90Single mattress
£120Single Orthopaedic mattress
£16Single duvet & pillows set
£10Single duvet cover & pillowcases set 
£150Double bed
£120Double mattress
£150Double Orthopaedic mattress
£30Double duvet & pillows set
£20Double duvet cover & pillowcases set
£130Baby’s cot
£30Baby’s cot bed mattress
£30Moses basket
£10Baby bottles
£20Bottle steam steriliser
£100Single Pushchair
£130Twin Pushchair
£170Twin Tandem Pushchair
£160Fridge
£180Fridge Freezer
£200 Washing machine
£210Cooker
£60Microwave
£15Kettle
£15Toaster
£200Sofa
£230Sofa Bed
£120Dining table and 4 chairs
£90Wardrobe
£50Chest of drawers

If you require the application form in a different format, please contact us.