Homeless Assessment Form

Only complete this form if you are threatened with homelessness within the next 56 days.

Make sure that you have to hand all of the information you will need to complete the form, for details refer back to main page using this link: - https://www.harlow.gov.uk/help-if-you-are-homeless

Only use the Previous and Next buttons when completing the form. Do not use the browser back button

When completing your form you can save it at any time and return to it within 7 calendar days.

Fields marked with an * must be completed.

Once you complete the form you may receive a reference number, if you do then please make a record of this as we may ask for this reference when we communicate with you.

Once you have submitted the form you will be contacted by the Council by phone within 5 working days where an assessment will be made on your housing needs and advice given.

Where an appointment is necessary this will be arranged within 10 working days of you receiving the call.

If you encounter difficulties in completing the Homeless Assessment form please call Contact Harlow on 01279 446655 who are available Monday to Friday 9.00am – 4.45pm excluding Bank Holidays.

Harlow council may use your personal data without your specific consent to provide you with one or more Council services, and to comply with the Council’s statutory and legal obligations. Information about how the Council uses and protects personal data can be located on the Council’s website https://www.harlow.gov.uk/privacy-notice