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If you would like to apply to us for help, you will need to fill in our application form. You will also need to send us proof of the amount of income you have and where it comes from e.g. wages, benefits, etc. If you are asking for help with your water/sewerage charges, we will contact the water company to confirm how much you owe them. Apply for help by completing our online application form You can now complete and submit applications online by clicking here. When we receive your online application we will provide an email acknowledgement direct to you, or to a third party if third party details are provided (e.g. if an agency is helping you apply). We will then contact you (or a third party) to provide any further information we need such as income proof. If you use our online application form please complete the whole form online and then submit to the Trust electronically. The online version of the form is not suitable to print, complete by hand then post to the Trust, as not all sections of the blank form will be available to print initially (relevant sections reveal themselves as you complete the form online). If you would like a hard copy of the application form to complete by hand and post to the Trust, please use the pdf version of the form below. Apply by post Alternatively, you can download the pdf version of the form, print and post the form to us. You can complete the form on your computer, but please make sure you print it off and sign it before sending it to us. If you would prefer us to send you an application form by post, click here or call 01733 421060. When filling in you application form, please read page 7 carefully to see what information you need to send into us with your completed application. Don't forget to sign the application form in section 12 - if the form is not signed we cannot assess your application. Sending in your application Once you have completed and signed your application, you should send the form and the necessary information about your income, medical condition, etc. to:
Please check that you have put the correct postage on the envelope. Incorrect postage will result in delays in our receiving and dealing with your application. If you think you may have difficulty in completing the application form a local advice centre such as a Citizens Advice Bureau may be able to help you fill it in. |