Make a referral

A referral can be made by:

  • anyone who is affected by domestic abuse or sexual violence, with or without children, currently or intending to live or work in Leicester, Leicestershire & Rutland (temporarily or permanently) and with or without the right to access public funds
  • an agency on her/his behalf and with their permission
  • an individual (friend, colleague or relative), again with her/his permission

To make a referral, download the referral form

Send completed referral forms in one of the following ways:

To inquire about a referral form that has been submitted, call the UAVA Business Line on 0116 255 0004.