Universal Credit support referral form

17 August 2023

If you are an organisation or service and want to refer someone to us for Universal Credit support, just complete our easy to use referral form below.

  • Referrer information
    If you are an organisation or service, please supply the details below:
  • Customer details
  • Household information
  • Does the customer have a partner or spouse?
  • Does the customer have children? If yes, please list how many below.
  • Does the customer have non-dependants living at the same address? If yes, please list how many below.
  • Other information
  • Any known medication/health issues we should be aware of?
  • Any addictions we should be aware of?
  • Is there an appointee?
  • Is a joint visit required?
  • What type of support is required?
  • General Data Protection Regulation (GDPR)

    The information we have requested from you will only be shared within East Ayrshire Council and their partner organisations, and will be used to arrange any advice and/or support required. Your information will be used for this purpose only and processed and held securely in terms of Data Protection Legislation.

    For further information on our legal basis for processing your information and your rights in terms of Data Protection Legislation, please visit our Privacy Statement.
  • Does the customer agree to information being shared?

Contact Information

East Ayrshire Universal Credit Support Team
Telephone: 01563 503280
Email: