Court Support Agency Referral Form


Please note that this support is for practical, emotional, and moral support to individuals navigating the family court system as victims of domestic abuse. This is not LEGAL representation. 



At this time we are unable to accept self referrals. If you need legal advice you can make a self referral to our legal advice service. 

You may find it useful to visit our resources page to find other services that may be able to help. https://flagdv.org.uk/useful-resources/

Currently we are not able to accept referrals from other counties. You may find it useful to visit www.lawworks.org.uk as this is a charity who also offer free legal advice. Alternatively, the following services may be of assistance:
If you are worried for your safety and in immediate danger, please phone 999. If you require the police but it is not an emergency, please ring 101. You may also wish to contact the National Domestic Abuse Helpline on 0808 2000 247.
Currently, we are not able to accept referrals from people under 18.  You may find it useful to visit....
If you are worried for your safety and in immediate danger, please phone 999. If you require the police but it is not an emergency, please ring 101. You may also wish to contact the National Domestic Abuse Helpline on 0808 2000 247.
















Please enter your date of birth in dd/mm/yyyy format
Please enter the Postcode where the client is staying and click "Find my address"

















Please note that we are not an emergency support and if there is less than 2 weeks until the court date we may not be able to provide the moral support in court. However if the client needs other support remotely that can be provided










About other people
In order to provide the best support we can we request the details of the person who has been abusing your client and the details of any children.   

This information will not be used in any way other than to be able to progress their referral with Flag DV 

Please consider providing this information now so as to reduce admin time and facilitate us being able to see your client as quickly as possible.  If you cannot provide the information now then we will be required to ask your client for this information before we will be able to progress their referral

Abusers details


Please enter their date of birth in dd/mm/yyyy format



Childrens details



Details of their first child


Please enter their DOB in dd/mm/yyyy format
Details of their second child


Please enter their DOB in dd/mm/yyyy format
Details of their third child


Please enter their DOB in dd/mm/yyyy format
Details of their fourth child


Please enter their DOB in dd/mm/yyyy format
Details of their fifth child


Please enter their DOB in dd/mm/yyyy format
Details of their sixth child


Please enter their DOB in dd/mm/yyyy format
Details of their seventh child


Please enter their DOB in dd/mm/yyyy format
Details of their eighth child


Please enter their DOB in dd/mm/yyyy format
Details of their ninth child


Please enter their DOB in dd/mm/yyyy format
Details of their tenth child


Please enter their DOB in dd/mm/yyyy format








Your privacy is important to us and we will process your personal data in accordance with data protection laws. Click here to read our how our Privacy Notice sets out how we process personal data about you and other individuals about whom you might disclose information.