Client Registration – Fortis Advisory CIC

Register as a Client

Complete the form below to request secure support from Fortis Advisory CIC.

Secure Support Client Registration

Register - Fortis Secure Support

First Name

Last Name

Email

Phone/Mobile

Address

Address Line 1

Address Line 2

Postal Town/City

County

Post Code

Support Needs (Funding Criteria)

Please tick all support areas that apply. This helps us apply for grants for you - could mean free vouchers in the future.

Health & Disability

Mental health condition (e.g. anxiety, depression)

Long-term illness (e.g. cancer, MS, ME)

Physical disability

Learning disability or difficulty

Neurodiverse condition (e.g. autism, ADHD)

Severe mobility issues / housebound

Family & Children

Has a disabled child

Family supported by social services

Young carer in the household

Single parent

Recently experienced bereavement

Economic Hardship & Crisis

Low income household

Food insecurity (e.g. food bank use)

Fuel poverty (struggling with gas/electric)

Rent arrears / risk of eviction

Recently sanctioned or denied benefits

Recently unemployed

No access to internet or phone

Risk of homelessness or sofa surfing

Social Vulnerability

Refugee / asylum seeker

Domestic abuse survivor

Recently released from prison

Victim of scams or fraud

Speaks limited English

At risk of exploitation (e.g. gangs, county lines)

Lives alone with no support network

Rural or digitally excluded