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Disability Allowance Application - Work and Income

1S03 OCT 2011 CLIENT NUMBERQ4 note: Please tick one box to show the title you want to be known can get Disability Allowance ? Disability Allowance ApplicationIf 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 may be able to help with costs such as ongoing visits to the doctor, medicines, medical alarms and doctor or specialist will need to complete the Disability you need help with this form call us on % 0800 559 read this before you startPlease complete all questions if not applicable write What is your name?

S03 – OCT 2011 1 CLIENT NUMBER Q4 note: Please tick one box to show the title you want to be known by. Name Who can get Disability Allowance? Disability Allowance Application

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  Applications, Disability, Disability allowance application, Allowance

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