Deprivation of Liberty Safeguards Referral

This service is for

What is this form for?

• Applying for a Standard Authorisation and granting an Urgent Authorisation 

Guidance

Once you have completed the form you should download a copy for the relevant person's records and our DoLS team will contact you as soon as a Best Interests Assessor has been allocated.

You will need

• You will need to register for a 'SELF' account to be able to complete this form, or log-in to your existing account if you have one. Registration should take no longer than five minutes.

What will happen next

Once you have completed the form you should download a copy for the relevant person's records and our DoLS team will contact you as soon as a Best Interests Assessor has been allocated. 

Alternative ways to do this

If you need further support with completing this form, please call us via 0300 500 8080.