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* 1. Name of Organisation

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* 2. Main Contact

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* 3. Which Local Authority are you under? (State all that apply)

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* 4. Do you meet all the required criteria for qualifying for the prepayment card offer - please tick to confirm:

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* 5. How many prepayment cards do you require (Maximum 200)?

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* 6. Do you want to go for the Yodex or Equals offer?

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* 7. For how long will you require the use of the prepayment cards? 

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* 8. For what reasons do you distribute financial support to your clients? please tick as appropriate.

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* 9. How much do you give per person per week? please tick the closest amount 

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* 10. Has the need for destitution payments increased since the Covid 19 Crisis?

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* 11. Are you happy for NACCOM to share the data collected with Refugee
Action to help respond with resourcing and supporting the sector further?

0 of 11 answered
 

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