The Clapham Relief Fund is a local charity which gives grants to those living in conditions of need, hardship or distress who are resident in our Area of Benefit.

The Trustees have discretion to make grants to provide items, services or facilities to individuals (generally via their sponsors), and to organisations which provide such items, services or facilities.

Notes for guidance

A.   Before completing the form, please make sure that you live within the Area of Benefit. The Trustees will be prepared to consider applications by or on behalf of applicants living in the near vicinity of the Area of Benefit.  Not more than one application per person per year can be considered.

B.   Assistance will normally only be granted where funding is not available from public sources (e.g. local authority or DWP).

C.   Grants will not be made to repay debts already incurred by the applicant.

D.   Applications will be considered at meetings of the Trustees, whose decision is final.  Meetings are held quarterly, usually in early March, June, September and December – see our website for current dates.  Completed application forms should be submitted at least ten days before the meetings.  In exceptional circumstances applications may be considered at other times by the Chairman and Treasurer.  Such applications should state clearly the reason for the urgency.

E.   All questions on the form must be answered. All information will be treated in the strictest confidence and used solely for the purpose of assessing need.

F.    All applications must be verified and countersigned by a sponsor before submission.

G.   The completed form should be posted to: Clapham Relief Fund, PO Box 37978, SW4 8WX or emailed to enquiries@claphamrelieffund.org

H.  NOTE:  We now have an arrangement with the charity Emmaus, which stocks a wide range of household furniture, white goods and other essentials at its “superstore” in West Norwood.  This option is also likely to be suitable for those living in unfurnished or sparsely equipped properties who are in need of a number of items.  If you/your client falls into this category, please email us for further details.

For further information and guidance please email enquiries@claphamrelieffund.org.

Income - State all sources of income (on a monthly basis). In case of husband and wife or partners, the joint income to be shown.

Outgoings Rent

NB: BACS payments can only be made to sponsoring organisations. If this is not possible, in exceptional circumstances e-gift cards from the supplier (eg. Argos) may be issued. Receipts showing the name of the beneficiary and delivery address must be sent to CRF within two months of the grant being paid.

I confirm that the above details are correct and that I am currently resident in the Area of Benefit, or in its near vicinity.  I agree that any grant made will be spent only on the items specified, that  itemised receipts showing the name and delivery address will be sent to the Clerk within two months of the date of receipt of the grant and that any unspent amount will be returned (not applicable where goods are supplied by Emmaus).   I undertake to inform you if my current needs are met by any other organisation to which I may have applied, or if my circumstances change.  

I understand that you may contact my sponsor and, where applicable, other charities I have mentioned because this can help with assessing my application.  I also understand that my details will only be used to assess my application, will be stored electronically to fulfil the charity’s audit obligations and that this application form and associated documents will be stored securely and destroyed in line with General Data Protection Regulations.

In signing this form I consent to my name, address and contact details being shared with providers of the goods or services needed.

DECLARATION BY SPONSOR

to be completed by a Social Worker, Minister of Religion, GP, Teacher, Trustee of the Clapham Relief Fund, or someone of similar standing who is known to the applicant)

I confirm that the applicant is known to me, that he/she lives within the Area of Benefit or the near vicinity and that, to the best of my knowledge, the information given in this form is correct.