FLOWS self referral

If you have been experiencing domestic abuse of any kind, we can help you access legal options to keep you safe. We can also help you find other specialist support.

Please use this form to send us your details securely. We will contact you within one working day. This form is entirely confidential, we will never share your details unless you ask us to.

E.g. Any time / after 2pm only / never by phone

Is there anything else we should know about contacting you safely?

If you can give us some more details, it will help us to give you legal advice more quickly. The next questions are optional but it is very helpful if you answer them. All information on this form is completely confidential.

Your date of birth

DD/MM/YYYY

This is the person whose actions you are concerned about or who you need protection from.

Date of birth of other party

DD/MM/YYYY