On-Line Forms

The following forms are for providers of Supporting People services. You can find the forms by following the links. Just click on the name of the form you want to read. You can print and post the forms or attach the filled-in form to an email. Please send forms to this address:

Supporting People Services
PO Box 634
Civic Centre,
Glebe Street
Stoke-on-Trent
ST4 1RJ

E-mail : supporting.people@stoke.gov.uk

Social Services Department - Fairer Charging Financial Assessment Request Form For Providers Supporting People Services

This form is for providers of Supporting People services.  Please fill it in to request a fairer charging financial assessment to be carried out, and to find out whether you are entitled to a reduction in charges relating to Supporting People services.   Please click on the link below to download the form and send to the address shown above.

Notification of Changes For Tenants Form

This form should be used to tell our Supporting People team of any changes in circumstances for tenants using Supporting People services in the city. This includes telling us about new and existing tenants.  Please click on the link below to download the form and send to the address shown above.

Variation to Contract Form

This form is to be used by providers who already have a contract to deliver Supporting People services to vulnerable people across Stoke-on-Trent.  The form can be used to tell us that you wish to make changes to your contract.  Please download the form using the link and send to the address shown above.

Once we receive the form we will contact you about the changes you have requested.

Serious Incident Report Form

This form has been designed for Supporting People providers to give details of any serious incidents that may occur within their service.  It should be filled in and faxed to the Supporting People team on fax no : (01782) 232217. 

Some examples of serious incidents may include:

• a death due to non natural causes
• a serious fire (leading to the whole or partial destruction of the building, or where service users, staff or vistors have required hospital treatment because of the fire)
• an accident (where service users, staff or visitors require hospital treatment)

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