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Thank you for completing Settled's self-referral form. Please write in English.
Are you enquiring about the EUSS or Ukraine visa schemes?*
First Name*
Family name*
Town/City (or nearest if rural)
Region*
Please see Postcode Areas (ideal-postcodes.co.uk) if you are not sure of your region
Email address (if you don't have email, please call our helpline on 0330 223 5336)*
Gender*
Age Range*
Nationality*
Ethnic Group
Your current immigration status (relating to the EUSS, Ukraine visa schemes, or other)*
Please give a short summary of the issue you have, and what advice or support you would like from Settled.(You may write in your first (European) language if preferred).*
Settled needs to keep certain information that you provide us for our own records. We won't share personal information with anyone without your written consent. We do share Anonymous statistics with our funders. You can find further details of how we use, store, and keep your data safе in our Privacy Policy https://settled.org.uk/privacy-policy/
Are you happy with us recording your data?*
Date*
Where did you hear about us?*
Without consent we are unfortunately not able to process an application, please review prior to selecting submit