Hardship Grant Application

Please note: This form must be completed by a representative of a recognised social organisation, such as a charity or social service.  It should not be completed by an individual for themselves.

IMPORTANT. This form has a 2 hour timeout. As you are unable to save this form, we strongly advise you to download the excel version of the form to complete offline. After saving the form, please copy and paste the fields into the online form. This will prevent lost work.

If you have successfully submitted your form you will receive a confirmation message and you will receive an email copy of the form. If this doesn't happen you will need to re-submit.