• Current Your details
  • Your income and expenditure
  • Complete
*Please give us as much information as possible and we will attempt to get back to you as soon as we can. Please ensure all mandatory questions marked with * are completed. If you are concerned about paying your rent, please contact your income officer to discuss how they can help. We can only support LiveWest customers who cannot access support to meet their needs through other routes and will expect customers to show what government or community support they have already accessed. These grants are available to LiveWest customers only, to cover emergency costs for food or energy. All grant applications will be assessed on a case by case basis and submission does not guarantee a grant will be awarded.
*Name
*Customer address
*I would like support with
*I have previously accessed support through the LiveWest Tenancy Sustainment team
*I have previously received a LiveWest grant
Please tick any of the following that apply to you:
Have you recently experienced any of the following:
*We normally only offer grant support to customers who do not have historic rent arrears. We will check our records to verify this information. Do you currently have rent arrears?
*Have you accessed or applied for funding from the government, local authority or other organisations and charities?
Sign above
*How did you hear about our grants?

Support needs and ethnicity

Are you happy for us to update your records with the details you provide?
Support Need information helps us adapt the services we provide, so you as our customers can access them in a safe, fair and equitable way. The list below shows a range of tasks that some customers may find more challenging due to a long-term disability or health condition (including mental health). Please tick all that apply (if you have no support needs or prefer not to say please tick the relevant box