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Get Kcconline Submission Form

Used to track service users that are not open to Social Services. If the service user is known to Social Services please provide GENIS number 2.Referred By: When completing this form please ensure that the name of the referrer, organisation, address, postcode and telephone number is entered. If the referral is made by a member of SSD then you will need to record whether the service user meets SSD FACS (Fair Access to Care Services) criteria. If yes, is the need for a Housing related support par.

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