Young carers downloadable form


We have adopted the most recent definition from the Children and Families Act 2014, which also includes sibling carers.

A Young Carer is defined as:

“…a person under 18 who provides or intends to provide care for another person… this relates to care for any family member who is physically or mentally ill, frail elderly, disabled or misuses alcohol or substances.”

We also support young adult carers up to the age of 24.


Under the Children and Families Act 2014, an actual or potential young carer has the right to an assessment of need.

A young carer’s assessment takes a holistic approach and will consider strengths as well as need. An assessment may result in signposting or referral to other support services that we think could benefit the whole family.

Referral Form

Below is our referral form for you to download and complete.

Please return to us via secure email to or via post to:
Young Carers Project Manager, Wigan and Leigh Carers Centre, 3-5 Frederick Street, Hindley, Wigan, WN2 3BD.

Do not hesitate to phone the office on 01942 705959 if you wish to discuss this prior to sending.

Upon receipt of the referral, we will send an acknowledgement letter to the family, with additional information and will arrange a home visit and a young carer’s assessment as appropriate.

Click the link below to download the form.

WLCC Young Carers Referral Form (word version)