Prepayment Card - Member Sign up
1. Name of Organisation
2. Type of NACCOM Membership
Full Member
Associate Member
Not sure
3. Main contact - Name
4. Main contact - Email
5. Main contact - phone/mobile
6. Main contact - Address (including post code)
7. Which Local Authority are you under? (State all that apply)
8.
Do you meet all the required criteria for qualifying for the prepayment card offer - please tick to confirm:
You are a NACCOM member - Full or Associate
Recipients of the prepayment cards are destitute
Recipients of the prepayment cards are not receiving Section 4/Section 95 support.
You are applying for under 200 cards
You are willing to let us know how many cards you use and what the weekly/monthly allowance is that you have given out.
You confirm you are solely responsible for managing the Prepayment Accounts with Equals or Yodex Ltd and NACCOM has no responsibility.
9.
How many prepayment cards do you require (Maximum 200)?
10.
For how long will you require the use of the prepayment cards?
During the current COVID 19 crisis
Ongoing on a permanent basis
11.
For what reasons do you distribute financial support to your clients? please tick as appropriate.
Food
Travel
Medication
Phone top-up
12. How much do you give per person per week? please tick the closest
amount
£5
£10
£15
£20
£25
£30
£35
£40
£45
£50
£55
£60
£65
£70
£75
£80
Other amount greater
13.
Has the need for destitution payments increased since the Covid 19 Crisis?
Yes
No
14. If you answered yes to the previous question, please explain reasons for this
15.
Are you happy for NACCOM to share the data collected with Refugee
Action to help respond with resourcing and supporting the sector further?
Yes
No
Contact Information