Make a Referral

Welcome to Leeds CIL.

If you live in Leeds and you, or somebody you are working with, are interested in employing your own Personal Assistants and would like to use our PA Recruitment, Payroll and/or Managed Bank Account Services, please complete the referral form below and one of the team will contact you. If you are an existing customer who may need additional support please contact your case worker or:

Email: Independentliving@leedscil.org.uk
Tel: 0113 231 1125

Person requiring support's date of birth

Person requiring support's email address or contact number

Person requiring support
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Contact Person/Employer (if different)
Name of Professional
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Additional Information

If you have any additional costing information please email this to: independentliving@leedscil.org.uk

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Equality Monitoring

We would appreciate it if you could complete the equality monitoring questions below. This will help us to know who has responded to this public engagement. The information you provide will be treated in the strictest confidence and in accordance with the General Data Protection Regulation 2018.

Ethnicity

Please indicate which best describes your ethnic origin