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Crisis & Resilience Fund application

You are applying to be evaluated for an award from the Crisis and Resilience Fund scheme.

This fund is designed to provide effective crisis support to those that encounter a financial shock and help individuals build their long-term financial resilience, reducing their dependence and repeat need for emergency assistance on things such as food parcels.

If you or someone in your household gets benefits, Universal Credit (UC) or other income support you will need to upload evidence of the support. Please make sure you have it ready. This should be a letter from DWP to show what benefit you get (for example Personal Independence Payment (PIP) or Attendance Allowance) and should show your name, address and National Insurance (NI) number.

If you or someone in your household does not get benefits, you will need to give evidence of your household’s financial income such as a payslip(s) and/or bank statement. Please make sure you have it ready.

The form has multiple steps and will take about 10 minutes to complete.

At the end of the form there is a Submit button. After pressing submit you will get a message telling you if the submission was successful, or, if you have errors on the form that need rectifying.

Other ways to apply: If you can’t to make your application on our website, please get in touch during our normal opening hours to ask for a paper application form or get help to complete it over the phone. Ring 01606 331853 and ask to be put through to the Information & Advice Service – option 3. Printed proof of eligibility will need to be attached to your application.

Do you wish to proceed with your application? (required)

You have chosen not to proceed with your application. Other partners working with Cheshire West and Chester in the delivery of the Crisis and Resilience Fund may be able to assist you. Further information may be found at Cheshire West and Chester - Crisis and Resilience Fund

About the application

We'll confirm we've got the application, and reply here.

Do you work at Disability Positive as either a staff member or volunteer? (required)
Are you making an application for yourself or for another person? (required)

Eligibility Criteria

The criteria for assistance is as follows:

  • Applicants must reside in Cheshire West and Chester
  • A disabled person must live in the household making the application
  • The disabled person or household is on a low income and in financial crisis.
  • Provide evidence in support of eligibility

If the criteria are not met your application will not be considered

Confirmation (required)
Is a member of the applicant's household disabled, or someone with ill health who has applied for disability benefits? (required)

If the applicant does not meet the criteria, we are not able to help with the application. Other partners working with Cheshire West and Chester in the delivery of the Crisis and Resilience Fund may be able to assist you. Further information may be found at Cheshire West and Chester – Crisis and Resilience Fund.

Benefits

If the household is in receipt of benefits, UC or other income support, upload the letters from DWP showing the award, clearly showing name and address and National Insurance Number.

Photos taken on a phone are fine. Each file can be up to 10MB, and all the files together need to come to less than 14MB.

Attachments to email communications are not secure, so please blank-out the bank account number and sort code, and NI number if they are printed on the evidence.

Is the applicant's household in receipt of PIP, DLA, AA, UC or any other income support? (required)
Please tick the evidence you are able to supply confirming you or a member of your household have a disability.

Leave blank if the household gets none of these.

PDF, Word document or photo (JPG or PNG), up to 10MB.

PDF, Word document or photo (JPG or PNG), up to 10MB.

What type of UC or other Income Support is your household in receipt of?

Leave blank if the household gets none of these.

PDF, Word document or photo (JPG or PNG), up to 10MB.

PDF, Word document or photo (JPG or PNG), up to 10MB.

PDF, Word document or photo (JPG or PNG), up to 10MB.

If the household is not receiving benefits

If the applicant's household is not in receipt of benefits, universal credit or other forms of income support, we need to see evidence of the household income in order to assess your claim. For households with person(s) in employment please supply wage slips for each member of the household in employment. If a member of the household is self-employed, then please supply a bank statement for that member showing transactions for the past month. Both types of evidence are required if the household has a mix of employed/self-employed persons.

What type of income evidence are you submitting?

PDF, Word document or photo (JPG or PNG), up to 10MB.

PDF, Word document or photo (JPG or PNG), up to 10MB.

PDF, Word document or photo (JPG or PNG), up to 10MB.

PDF, Word document or photo (JPG or PNG), up to 10MB.

PDF, Word document or photo (JPG or PNG), up to 10MB.

About the applicant

About the household

Household Status (required)

Tick all that apply.

Employment Status (required)
Is the applicant an existing client of Disability Positive? (required)

The support you need

What type of support do you need? (required)

Declaration

This form was completed by (required)

By submitting this form you agree to Disability Positive processing and storing your details in accordance with our Privacy Notice. In addition, you agree to us checking the information provided and where appropriate making a referral to another partner organisation which might be able to offer help and support.