Support for Individuals and Families2022 HCF Flood Appeal Fund Application for Emergency Finance Web Site Our priority in the aftermath of Herefordshire flooding is immediate straightforward financial support for people affected. This helps with urgent needs like the cost of living in temporary accommodation or for items people need to stay in their homes e.g. dehumidifiers. Title * First name * Last name * Email Address * Landline number Mobile number Correspondence Address 1 * Correspondence Address 2 Correspondence Town/city * Correspondence Postcode * Enter the details of the affected address if different from above. Affected Property Address 1 Affected Property Address 2 Affected Property Town/city Affected Property Postcode Number of People in Household * How many are over 70 years? * How many are under 5 years? * What are your immediate needs? (Please check as many as are applicable) Clothing Accommodation Food Dehumidifier Emergency Tradesperson Other - Please Specify Please give the name and details of someone who can verify the information here. This can be a member of the emergency services or a professional e.g. Solicitor, Teacher, Doctor, Councillor. * Contact phone number for verification * PAYMENT WILL BE TO YOUR BANK ACCOUNT Bank account name (must be exact) * Bank sort code (6 digits) * Bank account number (8 digits) * Comments or questions I confirm that the information I have given above is true and that I have not applied for HCF flooding support funding before. * Yes, I confirm this to be true.