Form

Refer a resident to Green Aiders

If you would like to refer a resident for a Green Aiders visit please fill out the form below with your details and the resident's details.

There is a large call for this service and it is oversubscribed. We will add the details provided to a waiting list. We do however get pockets of funding that allows for us to deliver the service in certain areas. We will get in touch with you or the resident when the service becomes available to them.

Please note, at present, we're only able to offer the service in Hertfordshire.

This service is for residents who are unable to physically do the work themselves and who cannot afford to pay for someone to do the work.

Referrer's Details:

First name*

Last name*

Email*

Phone number*

Job title

Relationship to resident*

Should we contact you as the referrer, or the resident?*

Referrer

Resident

Resident's details:

Does the resident live in Hertfordshire?*

Resident's name*

Client Vulnerability*

Resident's address (including Hertfordshire postcode)*

Resident's email address

Resident's phone number*

Garden Details

Garden Details*

Work that is not carried out:

Work in dangerous gardens, e.g. lots of rubbish, animal faeces, chemicals, loose dogs
Waste removal of general rubbish, e.g. furniture, cabinets, scrap metal
Aesthetic work such as planting flowers
Construction work such as putting down patios, building decking or fences
Cutting down large trees or hedges and working at height

How can we make your garden more accessible?*

Is there a place where we can park our van in order to bring in tools? If there is an active controlled parking zone, what are the timings and can we obtain a permit?*

Does the garden have side access or will we have to bring tools through the resident's home?

Is there any asbestos on site?*

Yes

How many brown bins does the resident have? Will these be empty on the day of the visit?