Why PI3?

Support Brokerage

Please fill out the form below to request a Support Brokerage for Hertfordshire County Council.

* Are you filling in this form for yourself? Yes No

* Relationship to person being referred: Appointed Representative Social Worker Other Professional Other

* Your relationship

* Self Funder: Yes No

DP Reference: From Hertfordshire County Council (if known).

* Care Provider Needed: Yes - Could be an individual, an agency, or community support. No

* Personal Assistant Needed: Yes - Already have someone, or need to recruit. No - Just require a Care Provider.

* Personal Assistant Recruitment: Yes - Need to recruit a Personal Assistant. No - Have PA, but onboarding needed; or PA Not Required. Unsure - Just advice needed at present.

* Age Group: Child Adult (18 or over)