Redbridge e-forms Contact us for housing advice 1Your details2Your contact details3 Nationality details4Interpreter details5How can we help you?6Have you been asked to leave your home?7Employment details8Details of any medical conditions9Household details10Additional information Are you threatened with homelessness? What are your housing options? Contact us using this online form. We will aim to respond to queries within 10 working days of receiving the form, Monday to Friday 9am to 5pm. The form will generate a reference number for your records and you will get an email giving you the next steps of the process. Check your spam email folder. If you are homeless and have nowhere to stay tonight, call 0208 708 4002. This is a landline telephone number. Your detailsTitlePlease selectMsMrsMrMxFirst name(Required)Last name(Required)Date of birth(Required) Day Month Year GenderPlease selectFemaleMaleTransgenderNon BinaryPrefer not to sayOtherOther - please specifyNational Insurance number Your contact detailsTelephone number(Required)Email(Required) Address(Required) Address line 1 Address Line 2 Town Postcode Are you a UK National?(Required) Yes No What is your nationality?(Required) Do you need an interpreter? Yes No What language? What can we help you with?(Required) Domestic abuse End of private rented tenancy (assured shorthold tenancy) End of private rented tenancy (not assured shorthold tenancy) End of social rented tenancy Evicted from supported housing Family or friend can no longer give me a home Fire or flood / other emergency I have to leave Home Office accommodation as asylum support Illegal eviction Landlord harassment Left institution with no accommodation available Mortgage repossession Other motivated violence or harassment Property disrepair Racially motivated violence or harassment Relationship with partner ended (non-violent breakdown) Rough sleeping Sofa surfer Have you been asked to leave your home?(Required) Yes No When have you been asked to leave by?(Required)If you are homeless today, call 0208 708 4002. Day Month Year Employment status Employed full time Employed part time Unemployed Student Retired Do you have any medical conditions? Yes No Medical conditionsPlease selectPhysical disabilityMental healthLong term medical condition Are there any other people in your household? Yes No People in your householdClick on 'add household member' to tell us about the people in your household. Click on 'submit' when you have finished. Date of birth Relationship to applicant Actions Edit Delete There are no household members. Add household member Maximum number of household members reached. Additional informationPlease tell us anything else that we should know about your situation(Required)Did you have help with completing this form? Yes No Who helped you to complete the form?Redbridge Council is committed to processing all personal information securely and in accordance with current data protection legislation.Further information on how we process your data can be found on our website's privacy notices page (opens in new window) or you can write to our Information Governance Team at data.protection@redbridge.gov.uk