Anthony Iwu

In progressReady to sign

Referred 6 days ago · Self-referral (drop-in) · Owner Chloe Bennett · 9 Alexandra Road (Reliance)

Referral

Referral source

Self-referral (drop-in)

Referrer

Self (walked in) · 07700 900412

Placing authority

Birmingham City Council

Current situation

Sofa surfing

Local connection

Yes

Reason for the referral

Came into the Ladypool Road office after six weeks between friends' sofas in Small Heath. Works part time in a warehouse.

Case note

Every field taken at the drop-in. Ready to sign as soon as he can get back to the office.

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

4 of 4

Room address

Building address

Fire assembly point

Fire exit locations

Charges (weekly)

6 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 agreementReady
SD2 Referral, risk & GDPR consentReady
SD3 Missing person profileReady
SD4 Confidentiality agreementReady
SD5 Authorisation to actReady
SD6 Fire evacuation planReady
SD7 Fire safety inductionReady
SD8 Service charge scheduleReady
SD9 Resident rights & responsibilitiesReady
SD10 Photo ID consentReady

Activity

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