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Disability Allowance Application – S03

Disability Allowance Application CLIENT NUMBER. If you need help with this form call us on % 0800 559 009. Who can get If you, or a family member, have a Disability , likely to continue for at least six months, you may be able to get extra help through a Disability Allowance . Disability Allowance ? We may be able to help with costs such as ongoing visits to the doctor, medicines, medical alarms and travel. Your doctor or specialist will need to complete the Disability Certificate. Please read this Please complete all questions if not applicable write N/A. before you start Name 1. What is your name? First name(s). Surname or family name Q2 note: Give any other names that 2.

– prospective employers to help you find work ... The Disability Allowance is available for reimbursement of additional costs arising from a Disability where the following criteria is met: 1. The person has a disability which is likely to continue for at least six months; and ... • reliance on a guide dog, wheelchair, or other remedial means

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