Contact Us
Please complete this form and one of our agents will reply to you by email as soon as possible.
Ticket Type indicates what sort of ticket it is, such as
Volunteer:
A&I (advice and information):
ConnectingU:
Drop-In session Volunteer 1-1:
Drop-In session Group :
BT with Confidence Training:
Volunteer:
A&I (advice and information):
ConnectingU:
Drop-In session Volunteer 1-1:
Drop-In session Group :
BT with Confidence Training:
What type of device or software issue does the client have? NB: This is the primary device or application. There may be multiple devices involved: THIS DOES NOT INCLUDE SMART DEVICES, SEE BELOW:
What is the operating system of the client, NB this is the PRIME device O/S, there may be multiple tech involved, e.g Android Mobile and Microsoft Laptop requiring Link, pick the one the client uses most, can also include specialist software.
INBOUND ISSUES - SUPPORT REQUIREMENT.
Optional Client/Volunteer password/safeword (used for security/confidence, so the client knows the volunteer is legitimate)
Volunteer Acceptance
E-mail Address (secondary) This may be the clients, the referrers, or a family member we may need to contact. More than one can be registered.
Who created this Record (or amended it) if you amend it please add your name and reason for amend with date.
Date record created or amended
To match the best volunteer support for you we need to collect some info from you: your contact details and your disability info. We use a US-based database to store this information securely and only share it internally with our volunteer and Admin teams
The client does or does not consent to future contact, for marketing purposes etc
Date gave agreement to future contact: READ QUESTION: Do you give consent for us to contact you in the future with useful updates, information or requesting feedback about our services?
Client Address
Postcode (separate from main address for mapping)
Note the client's disability if one is declared.
If selected 'Other disability' above please specify
Older Person (55+) Please note that 65+ is the stipulated age for clients requiring Digital Skills Training.
Source of contact with AbilityNet
If the Source is 'Organisation / Charity' please specify here
If selected 'Other organisation/charity' above please specify
If the source is 'Advertising' please provide more details here e.g. name of publication such as telephone directory, AGE UK magazine
Does the referrer want contact either before the client or afterwards?
Referrer contact details. Also note any information provided for compliance or consent (disclosures/warnings)
Client Hardware & O/S (list if required) – Software? & Internet Connectivity (Y/N) Supplier?
In certain circumstances we can assist by our trusted volunteers using Remote Support (Teamviewer) to access a client’s device to support them. This could allow us to resolve issues faster and provide support in areas where there is no volunteer cover.
If the volunteer drives - is car parking
RA: - is anybody in the house a smoker?
RA: - are there any pets in the house (allergies)?
RA: - What floor in the home is the technology located on?
If the client receives care from their bed, whether in the bedroom or not, the guidance is that 3rd party should be available to chaperone. This can be a referrer, another volunteer or a family member but it must be set up before the visit.
RA: - volunteer access. Could a volunteer (possibly with mobility issues) easily move and access the technology comfortably?
So that our volunteer is prepped with who they are supporting on the day is it just you who uses the tech or would someone else in the house need support?
Any other information such as holding notes, disclosure notes, information for other agents etc