Tell us about you

    Tell us about your work

    Tell us why you would benefit from support

    Please tell us about your financial situation using monthly figures
    Weekly or annual figures are acceptable if indicated and used consistently
    INCOME
    AVAILABLE FUNDS
    EXPENDITURE
    TOTALS

    Form Notes:
    1. Fields marked with an asterisk * or a red border are mandatory and they will require you to input information before you can progress. If you cannot answer the question please enter ‘Not applicable’, ‘Don’t know’ or similar.
    2. When you have completed a section, use the ‘Next and ‘Previous’ buttons to navigate.
    3. When you have finished the form, click the ‘Submit Application’ button to send your application.
    4. On submission, your application form is transmitted securely to our server.
    5. You will receive a notification via email that your application has been submitted successfully.
    Application Notes:
    1. Please complete the form in as much detail as you can.
    2. Applicants are advised that the function of the Silversmiths & Jewellers Charity is not to relieve the Department of Social Security, the Department of Work and Pensions or Local Authorities from any responsibility they may have to the applicant.
    3. To confirm that you are who you say you are, we may ask you for a professional reference. We also reserve the right to ask for bank and benefit statements.
    4. We will contact you using the details provided to progress your application.