1Page 1 2Summary Progress Before you begin Use this online contact form if you are a jobseeker in Liverpool aged 18 or over, and you need our support. Just tell us how we can help you and we’ll be back in touch with you as soon as we can. Please view our privacy notice to see how we share, process and store your personal data. Are you an employer? Please contact Liverpool in Work via our employer support contact form. Do you qualify for support? To get support from us, you must confirm all the following statements: I live in the Liverpool City Region I am of working age, and aged 18 or over I have the right to work and live in the United Kingdom, and I am not on an existing Department for Work and Pensions employment programme I am committed to looking for work Confirmation I confirm that all of the above statements apply. Please select all the statements below that apply to you. You must be able to select at least one to be eligible. I have a disability or long-term health condition I am an offender serving a community service, or an ex-offender who has completed a custodial or community sentence I am a carer or ex-carer I am a homeless person I am a former member of the Armed Forces, a member of the Armed Forces Reserves, or a partner of current or former Armed Forces personnel I am a person for whom drug or alcohol dependency, including a history of dependency, presents a significant barrier to employment I am a care experienced young person or a care leaver I am a refugee - including a resettled Afghan or a person on the Ukrainian scheme I am a victim or survivor of domestic abuse I am a young person who has been identified as being involved, or at risk of being involved, in serious violence I am a victim of modern slavery None of the above but I would still like support About you First name Last name Address Postcode Find Address Loading addresses... Select Address -- Please select -- Address line 1 Address line 2 (optional) City Postcode Clear postcode/address Use the Lookup Postcode button to find the address.If you cannot find the address, please enter it manually Your telephone number Your email address Are you currently in paid employment? Yes No How did you hear about Liverpool in Work? Social media Online search engine Word of mouth Posters, flyers and leaflets Liverpool Express Mersey Views newsletter Job Centre Plus Other If 'Other', please specify How can we help you? Declaration I confirm that the information I submit with this form is correct. I have also read the Liverpool in Work privacy notice, and understand the eligibility criteria for support. Confirmation I agree to the above declaration. No information is required, please proceed to the next page. Before you submit this form please review your answers below. If you need to change anything, use the 'previous' button on the bottom left to go back to a section. Then submit the form by selecting the 'Submit button' at the bottom of this page Loading form summary...