Vulnerable People - Help Request
Your Details
 First name
 Surname
 Address
 Postcode
 Email
 Telephone
 Your age
 What do you require help with? (e.g. shopping, medicine, care)
 Reference Number
This will be provided once you have completed the form
Vulnerable Groups
 Are you in the Government defined vulnerable group?

This group includes:
  • those who are pregnant
  • those who are aged 70 or older (regardless of medical conditions)
  • those who are under 70 with an underlying health condition listed below (ie anyone instructed to get a flu jab as an adult each year on medical grounds):
    • chronic (long-term) respiratory diseases, such as asthma, chronic obstructive pulmonary disease (COPD), emphysema or bronchitis
    • chronic heart disease, such as heart failure
    • chronic kidney disease
    • chronic liver disease, such as hepatitis
    • chronic neurological conditions, such as Parkinson’s disease, motor neurone disease, multiple sclerosis (MS), a learning disability or cerebral palsy
    • diabetes
    • problems with your spleen – for example, sickle cell disease or if you have had your spleen removed
    • a weakened immune system as the result of conditions such as HIV and AIDS, or medicines such as steroid tablets or chemotherapy
    • being seriously overweight (body mass index (BMI) of 40 or above)
Data Protection
We will use the information to provide and coordinate humanitarian support in response to the COVID-19 pandemic. The basis under which the Council uses personal data for this purpose is that is necessary for the performance of a task carried out in the public interest.
The Data Controller is Gedling Borough Council, Civic Centre, Arnot Hill Park, Arnold, Nottingham, NG5 6LU. You can contact the data protection officer at the above address or by email at dataprotectionofficer@gedling.gov.uk
Further information including how long we retain your data, who we share with and your rights can be found in our privacy notice.