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This short form helps us connect you with the right support. You do not need to provide a detailed account at this stage. Please give only brief information so we can understand urgency, access needs and the most appropriate next step.

The service is confidential, informal, impartial and independent. Information is not shared with AUT management or People & Culture unless you consent, there is an imminent risk of serious harm, or disclosure is required by law.

If there is an immediate risk of serious harm to you or someone else, please contact emergency services or your usual urgent support pathway now, then complete this form if it is safe to do so.

Important: Your annual service allocation
Each AUT staff member can access up to 8 hours of Space to Talk support per year. If you would like to check your remaining allocation, please contact info@icra.co.nz or your Space to Talk Case Manager.

Contact Information

Legal or preferred first name.

Legal or preferred last name.

Please provide an email address that only you can access, if possible. For privacy reasons, we recommend that you DO NOT use an AUT email address.

Please provide a private phone number you are comfortable with us using.

Work Information
Urgency & Concern

You may select multiple options.

How Did You Hear About Us
Next Steps