Settled self-referral form

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

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)

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

Telephone Number (optional)

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.*

Are you filling this out for someone else? If so, please indicate your relationship to the client.

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?*

If at any stage you have any concerns regarding the conduct of your case, please raise them with Settled, preferably in writing. Please let us know if you would like full details of our complaint procedure.

If we are unable to resolve matters to your satisfaction or you wish to pursue your complaint through other channels, you are entitled to contact the IAA at any time.

Their address is:
The Immigration Advice Authority
21 Bloomsbury Street,
London,
WC1B 3HF

The IAA is the public body, which regulates immigration advice and services within the UK. The IAA may review your file as part of their regulatory role.