Refer A Child

If you’re 18 or under and struggling after being affected by crime and need some support, we’re here to help.

Referrals can be made by any of the ‘bluelight’ services – Police, Fire and Ambulance – first responders or their safeguarding staff.

Our goal is to make accessing support as simple as possible.

To make a referral please complete the form below and a member of our staff will be in touch.

Referrer Name

Agency

Occupation

Referrer Address

Referrer Telephone number

Referrer Email Address

Client Name

Parent/guardian consent for referral to be made

Yes No

Support Required

Do you consent to Three Nines holding and sharing this information for the purpose of providing you support only

Yes No