Customer Support Fund Application Form

You can upload screenshots or pdf files as evidence to support your application. If you're unable to do this online, you must send these to us either by email or post after you have submitted this form.

Please tell us whether you have applied for, or received any of the following:

I declare that the information I have given on this form is complete and correct at this time.

I am happy for Salix Homes to contact any creditors to clarify any information on this form and the financial statement relevant to this application.

I will send one month's bank statements and copies of any other evidence by post, if not already uploaded with this form.

Address: Customer Support Fund, Salix Homes, Diamond House, Peel Cross Road, Salford M5 4DT.