Organisation referral form

The person you're referring

We’ll make initial contact with either the person you refer or their identified supporter.

We’ll assess their needs to identify how we can best support them.

Tell us if the person you're referring is:(Required)

A witness

Not a witness, but in need of support as someone they know has died

CAPTCHA

How we'll store and use the information you give us

We'll use the information in this form to contact the person needing support.

You should make sure the person needing support knows:

you’re giving us their personal information
how we'll contact them - for example by phone

We’ll store the information from this form in our case management system. We won’t share it without permission from the person who the information belongs to.

You can check our privacy policy for full details of how we'll store and use the information.

You and your organisation

Your name(Required)

The name of the person making the referral

Your phone number(Required)

The phone number of the person making the referral

Your email address(Required)

The email address of the person making the referral

Your organisation's name(Required)

The department you work in (Optional)

What type of organisation do you work for?(Required)

Prosecution

Defence

Other

Prosecution organisations

Only select the contact methods that are safe to use. You can choose more than one option.

What type of prosecution organisation do you work in?(Required)

Police Witness Care Unit / Crown Prosecution Service

Police Officer

Other prosecuting authority

Police Witness Care Unit / Crown Prosecution Service

Which section of the Police Witness Care Unit or the Crown Prosecution Service do you work in?(Required)

Other prosecution authority

You said you work in an other prosecuting authority, tell us in which section?(Required)

Other type of organisation

What type of organisation do you work for?(Required)

Tell us about the person who needs support

If the referral is for a person under 18 you must include the date of birth.

Their first name(Required)

Their last name(Required)

Their date of birth (Optional)

For example: 20 4 2001

What type of witness are them?(Required)

A witness for the defence

A witness for the prosecution

In need of support in court because someone close to them has died

I'm not sure or I don't know

Their contact details

Only select the contact methods that are safe to use. You can choose more than one option.

How should we contact them?(Required)

Phone

Email

Post

Phone

We can give support over the phone. We’ll call on a weekday between 9am and 7pm.

Their phone number(Required)

If overseas, include the country code. For example +34 for Spain

Is it safe for us to leave them a voice message?(Required)

Yes

No

Is it safe for us to send them a text?(Required)

Yes

No

Contact preferences (Optional)

We’ll do our best to get in contact with them at a convenient time within our opening hours (Monday–Friday, 9am–7pm). Let us know if they’d prefer a specific day or time.

Email address

Email(Required)

Their home address

Address(Required)

Address line 1 Address line 2 (Optional) Town or city County Postcode Country

Their communication needs

Do they have any communication needs? (Optional)

Tell us the best ways we can share information and communicate with you. For example, speaking slowly and clearly, reducing background noise, using easy to understand words, sending information in large print, offering calls using Relay UK.

Additional witness information

Select any of the following that apply. The witness is: (Optional)

The Witness Care Unit is responsible for defining if you are classed as vulnerable or intimidated witness. They define a vulnerable witness as someone who is under 18, or has a physical or mental condition that could affect their ability to give evidence. They define an intimated witness as someone who is a victim-survivor of modern slavery, rape or sexual assault, or someone who has been involved in a crime involving weapons like knives or guns. They may also consider someone an intimidated witness if they're scared about giving evidence in court, which might impact how they give their evidence.

a victim of crime

under 18 years old

vulnerable

intimidated

About the case

Tell us about the case.

Defendant's name (Optional)

The defendant is the person accused of committing the crime.

CPS unique reference number(Required)

This is your CPS Unique Reference Number. You’ll find this on any letters sent you asking you to attend court.

The crime the defendant has been charged with: (Optional)

Offence type (Optional)

Child Sexual Exploitation

Domestic Abuse

Sexual Violence

Hate Crime

Homicide

About the case

Tell us about the trial. You can leave these fields blank if you don’t know the answers.

What hearing have they been asked to attend?(Required)

Do you know which court they've been asked to attend?(Required)

Yes

No

Name of the court they've been asked to attend (Optional)

Start typing the name of the court and select it from the dropdown list

Date of hearing (Optional)

For example: 20 4 2023

Any other information

Is there anything else you’d like to tell us? (Optional)

For example, you can tell us about accessibility needs, disabilities or health conditions. This information helps us to be more inclusive and support you better. If you’re filling in the form for someone else, the information should be about them. Don't talk about the crime or incident involved in the court case.

The person you're referring

How we'll store and use the information you give us

You and your organisation

Prosecution organisations

Police Witness Care Unit / Crown Prosecution Service

Other prosecution authority

Other type of organisation

Tell us about the person who needs support

Their contact details

Phone

Email address

Their home address

Their communication needs

Additional witness information

About the case

About the case

Any other information

Useful info

Social links