Crisis Support Fund form

Our fund can assist Coastline customers who rent a home from us, or are shared owners who may be facing a financial crisis or shock, or are struggling with the cost of living.

About you

Full name *

Full address (including post code) *

Phone number *

Email address

What do you need help with? *

What have you done to try and fund this yourself? *

What is your total monthly income and where does it come from? *

What are your outgoings each month and how much do you spend on these? *

Do you have any debts? If so, what payments are you making for these? *

What steps are you taking to improve your financial situation? *

Is there anything else we should know? *

the more information you can give, the better service we can provide
we'll get back to you within two working days
don't forget, you can pay your rent through My Coastline
This funding request does not guarantee you will receive a payment from us - all applications will be considered in line with our Crisis Support Fund policy