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Sanctuary service referral form
The sanctuary service is not limited to council or housing association tenants and includes any person who is threatened with homelessness due to domestic abuse.
N.B The referring agency must have visited the property and identified the vulnerable areas and also must have obtained the landlords permission before referring to the service.
Name of referrer
Date of referral
I consent to information being shared with other organisations and to other organisations providing information to Blackpool Council about matters that may affect my referral to the sanctuary service. Blackpool Council will not use this information for any reason that is not related to the sanctuary service or housing circumstances.