Get help Help someone you know Help someone you know 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, complete the online referral form here: You can also download and submit a completed referral form via email to the following addresses: Non-secure: [email protected] Secure email: [email protected] Please note that professionals will only be able to send emails to the secure email address if they are using a secure email account themselves (e.g. cjsm or pnn addresses). To inquire about a referral form that has been submitted, please email [email protected].