Online forms: Coronavirus Isolation Support Form
Please read this carefully; this form must only be completed if you or your household are:
- Self isolating (to find out who should self isolate and how long for visit the government’s website)
- Do not have support from family, friends or neighbours please fill out the form below. We will use this information to see how we can best support you. This might include checking to see if you are entitled to claim more benefits, need priority access to food supplies, and general support to prevent loneliness.
The information and personal data collected from this form will only be used to identify if we can provide support for you during the Coronavirus pandemic. Your data will be held on a database and will only be used for the purpose it was intended and for a period which is deemed appropriate.
The council may also share your data with other health organisations, i.e the NHS, Public Health England or other voluntary groups who may be involved with providing you support during this period.
Once submitted, if you wish for your personal data to be removed from our database please contact the council.