About A1 Abodes Supported Housing

Make a Housing Referral to A1 Abodes

Submit a Referral to A1 Abodes

This referral form is for agencies, councils, charities, and professionals submitting housing applications on behalf of their clients. Please complete all sections with accurate details. If a question does not apply, enter “NA” so we know the information has been reviewed.

By submitting this form you agree to our privacy policy. If you have any issues while completing the form, please contact our team at info@a1abodes.co.uk.

Applicants Personal Details

First Name

Last Name

Gender

D.O.B

Current Age

Nationality

Ethnicity

Religion

Current Address including postcode

Applicants Contact Details

Primary Phone Number

Secondary Phone Number

Applicants Personal Circumstances

Do you smoke? *

Do you Drink Alcohol? *

Do you take drugs? *

Do you have a criminal record? *

Do you have any mental health condition (Anxiety, Depression, Bi Polar etc)?
kindly indicate any mental health conditions. If none, please enter "NA."

What is the reason you wish to move? *

Do you have any physical health conditions (Arthritis, Asthma etc
indicate any physical health conditions. If none, please enter "NA."

What proof of ID do you have (Passport/Driving License/Birth Certificate/Citizen ID etc) *

What is your source of income: What benefits are you on?

Are you employed?

Do You Have a Next of Kin Details?

Do You Have a Current Landlord?

Do You Have a Probation Officer?

Do You Have a CPN Worker?

Do you have a Social/Key Worker?

What areas would you prefer to be housed in?

Is a professional filling this form in on behalf of the applicant?

Quick Links

Use the quick links below to find the most important sections of our website. Whether you need to apply for housing, learn about our services, or explore partnership opportunities, these links will take you straight to the right page.

Local Council Services

Birmingham Council Tax: 0121 303 1113

Birmingham Benefits: 0121 464 7000

Birmingham Refuse Collection: 0121 303 1112

Sandwell Council Tax: 0121 368 1155

Sandwell Benefits: 0121 368 0800

Sandwell Refuse: 0121 368 1177

Walsall Council Tax: 0300 555 2852

Walsall Benefits: 0300 555 2855

Walsall Refuse: 01922 650 000

Solihull Council Tax: 0121 704 8100

Solihull Benefits: 0121 704 8200

Solihull Refuse: 0121 704 8000

Government and National Support

Universal Credit Helpline: 0345 600 0723

Employment Support Allowance: 0345 608 8545

HMRC Tax Credits: 0345 300 3900

Child Benefit Helpline: 0300 200 3100

Emergency and Utilities

National Gas Emergency (Transco): 0800 111 999

Severn Trent Water: 0345 750 0500

South Staffs Water: 0800 389 1011

Make a Housing Referral to A1 Abodes

Submit a Referral to A1 Abodes

Applicants Personal Details

Applicants Contact Details

Applicants Personal Circumstances

Quick Links

Local Council Services

Government and National Support

Emergency and Utilities

Quick Links

Our Contact