Young Carer: Main Details

The Support the Young Carer Needs

Please answer all these questions. If you do not provide sufficient information, we may not be able to process your referral.

Young Carer: Additional Details

We ask the following questions to help make sure that carers from every background feel comfortable to come to us for support and for reporting to our funders.

Cared-for Details: Who does the Young Carer Look After?

If you have their permission to share

Parent / guardian details

By submitting this form you are confirming that the carer has given consent for a referral to be made to Action for Family Carers for support. Where the carer is under 18, their parent or guardian has also provided permission.
It has been explained that relevant information may be shared, where necessary and appropriate, to provide support. This may include sharing with:
  • Essex County Council, the Essex Child & Family Wellbeing Service and others where we are contracted to deliver services.
  • Organisations we formally partner with to deliver support - including Essex Carers Support.
  • Other professionals or services, for example, to make referrals to Essex County Council, Adult Social Care, health services, or other charities that can provide support.
All information will be stored securely and handled in accordance with data protection legislation. Please refer to our Privacy Notice for further details.