Are you enquiring about the EUSS or Ukraine visa schemes?*

First Name, ''Please write your full name (not an intial)''*

Family name*

Town/City (or nearest if rural)

Region*

Email address (if you don't have email, please call our helpline on 0330 223 5336)

''Please be careful to type your email address correctly- we can only respond to correct email addresses!''*

Gender*

Age Range*

Nationality*

Are there any personal circumstances or challenges that you would like us to be aware of in order to provide the most appropriate advice?*

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. Please write in English.*

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?*