Need some help?
Please complete the form by answering all questions as fully as possible.
We may contact you to provide us with further information if necessary. If you need to add any further pages, please make sure they are clearly marked with your name.
Please see the checklist on the final page to ensure you enclose any additional information required.
We can also arrange to visit you in your home by appointment. Our staff will always carry identification with them which will be shown to you on arrival at your home. We also ask that you do not smoke in your home two hours before, or whilst our staff or contractors visit your home.
Signing the form
This form, which is a Word Document, may be signed electronically.
Once you have downloaded the form, you will need to select 'enable editing' to allow you to complete the form.
Before you begin to complete the form we would recommend saving the form to your device at this point, and continue to save as you go..
Once you have completed the form you will be required to enter a signature. To do this please carry out these steps:
- Select 'Insert' (third tab along the tool bar at the top)
- Select 'Shapes' and under the section named 'Lines' go the last line names 'Freeform: Scribble'
- You will now have a cross which can be moved by your mouse or finger depending on your devise, that will allow you to draw your signature on Page 17 of the application form
- Remember to save your form before returning your completed form.