Household Support Fund Application As part of the nationwide efforts to recover following the pandemic, Hart District Council was provided with some funding from the Government's Household Support Fund (HSF) to support residents of Hart. This funding has been distributed to Citizens Advice Hart to directly help those who have been affected by the pandemic and who need it most, including for example, through small grants to meet daily needs such as food, clothing, and essential costs. The fund is designed to provide short-term financial support to vulnerable households which have been affected by the Covid 19 pandemic, and are struggling to afford household essentials. These households will need help with the cost of food, energy, water bills and other essentials. Please be aware that this is a limited fund to assist with household essentials for Hart residents only. Applications relate to the physical household as much as to your families living arrangements. Therefore, an application will only be accepted from one person in each household. When we record and use your personal information we:1) Only access it when we have good reason2) Only share what is relevant and necessary3) Don't sell it to commercial organisations We need to record information about you to help with your application. We have a legitimate interest to do this. Please let us know if you'd like more information about how we will use your information, or visit www.citizensadvice.org.uk/myinformation This fund is for HART RESIDENTS only. Please only apply if you live in the Hart district. Section 1: Information about you and your household Title First Name * Family Name * Date of Birth * Gender: Female Male Prefers a different term Prefer not to say Address * Postcode * Please select the best option that describes your household. Your household is your family members that live with you. Your Household: * Single person Single person with dependant children Single person with non-dependant children Couple Couple with dependant children Couple with non-dependant children Other - Adults only Other - With dependant children Prefer not to say Have you or anybody in your Household previously applied to the Household Support Fund? * No Yes Has anyone in the Household been affected by the Covid 19 pandemic? * Yes Please explain how your household been affected by the Covid 19 pandemic: * If you are human, leave this field blank.