Cooperative Working Access Point

Early Help Registration


Please use the form below to register an Early Help.


Safeguarding: If you are concerned that an infant, child or young person has been harmed or abused or is at risk of being harmed or abused, you must follow the Safeguarding Children’s Board safeguarding children procedures. You can find up to date procedures and guidance at or contact us on:

  • Advice and Referral Team 01782 235100 (Office hours)

  • Emergency Duty Team 01782 234234 (outside office hours 1700 to 0830)

Fields marked with a * are required fields

Please ensure you upload a copy of your Early Help paperwork using the section below.
  Upload one file only
   Upload File  

SECTION A – About you

*Your name
   Agency (where applicable)
   Location/ base (where applicable)
*Contact Number (landline)
   Contact Number (mobile)
   Email Address
*Are you registering an Early Help    Assessment you have started?

SECTION B – About the Family/ Case


Address of the family

  House Name
*House Number
*Post Code

Family Members

 First Name Surname Relationship Date of Birth or Expected Due Date Ethnicity Gender

If you are registering an Early Help Assessment:

  Please tell us the Level of need at start
  Is this a registration of a refusal?



Stoke-on-Trent City Council, Civic Centre, Glebe Street, Stoke-on-Trent ST4 1HH, UK rgin-l-50">Telephone: +44 (0)1782 234234Email: