Dominic Peart

In progress

Referred 4 days ago · Self-referral (drop-in) · Owner Priya Sandhu · 244 Coventry Road (Reliance)

Referral

Referral source

Self-referral (drop-in)

Referrer

Self (walked in) · 07700 900338

Placing authority

Birmingham City Council

Current situation

Sofa surfing

Local connection

Yes

Reason for the referral

Came into the office after his brother asked him to leave. On a friend's floor in Bordesley Green in the meantime.

Case note

Came in Monday and we got through his identity and the missing person descriptors. The room and the charges when he brings his ID.

Tenant — identity

7 of 7

Full name

Date of birth

NI number

Gender

Ethnicity

Contact number

Tenant — physical descriptors (SD3)

5 of 5

Skin tone

Hair colour

Eye colour

Height (cm)

Build

Referral (SD2)

4 of 4

Referral agency

Referrer name

Reason for referral

Referral date

Property

1 of 4

Room address

Building address

Fire assembly point

Fire exit locations

Charges (weekly)

0 of 6

Basic rent

Eligible service charge

Ineligible service charge (total)

Ineligible — utilities

Ineligible — support

Total weekly charge

Max arrears (= 2 × ineligible total)

Staff / provider

2 of 2

Support worker name

Support provider

Dates

1 of 1

Agreement date

Pack

10 sheets

Standard pack · SD1–SD10

SD1 Licence agreementNeeds 5 details
SD2 Referral, risk & GDPR consentNeeds 1 detail
SD3 Missing person profileNeeds 1 detail
SD4 Confidentiality agreementReady
SD5 Authorisation to actNeeds 1 detail
SD6 Fire evacuation planNeeds 2 details
SD7 Fire safety inductionNeeds 1 detail
SD8 Service charge scheduleNeeds 3 details
SD9 Resident rights & responsibilitiesNeeds 1 detail
SD10 Photo ID consentNeeds 1 detail

Activity

Referral received
18 Sep 2026
Self-referral (drop-in) · sofa surfing
Self (walked in)