Household intake

Referrer details

Referrer name

Who is referring this household?

Referrer organisation

Which organisation does the referrer work for?

Referrer email

Contact name

Phone

Email

Address

Kind of help

Weekly food parcel

Note

Purpose: Contact details to reach the household about the intake and the weekly food parcels
Lawful basis: Your consent
How long we keep them: 2 years after the last contact, then deleted

I agree that my details are used for: Contact details to reach the household about the intake and the weekly food parcels.Required