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How to use or fill out PLEASE FILL OUT EITHER -OR- BUT NOT BOTH APPLICATION for with our platform
- Click ‘Get Form’ to open it in the editor.
- Begin by completing Part One, which requires your personal details. Fill in your title, last name, first name(s), address, postcode, date of birth, and contact information. Ensure you include a mobile number and email if available.
- In the alternative contact section, provide details if correspondence should be sent to someone other than yourself. This includes their title, name, address, postcode, email address, and relationship to you.
- Proceed to Part Two for eligibility assessment. In Section 2a, tick any applicable boxes regarding automatic eligibility and attach photocopies of relevant documents.
- For Section 2b and 2c under non-automatic eligibility, provide written proof from a healthcare professional about your mobility issues and any benefits received.
- Complete Part Three by detailing any long-term conditions affecting your mobility. Include information on aids used during travel and emergency contact details.
- Finally, review the privacy notice and sign the declaration confirming the accuracy of your information before submitting the form.
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