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DLA Application Support - Initial Enquiry

Thank you for enquiring about support for your young person's DLA application. Before we go ahead I'd like to find out a little more information to ensure my services are the best fit for you.

In some cases, you'll be able to go right through and book an appointment after completing this questionnaire. In other cases, I may need to find out a little more and so will be in touch shortly by email.

Your full name

Your email address

Your young person's full name

Your young person's age

What are you seeking support with?

An initial DLA claim

A renewal

Reporting a change of circumstances

Challenging a decision - for example as a Mandatory Reconsideration or Appeal

Other/I'm unsure

Do you have a deadline/date you need to complete your application by?

Yes

Please tell me a little about your young person and what has prompted you to seek support with a DLA claim

Which areas of life does your young person currently require additional support with?

You can choose one, several or none. We will discuss them in more detail in our Zoom session.

Which of these best describes your young person's current educational arrangements?

Not yet school age

Attends a mainstream school/nursery

On roll at a school/nursery but struggling to attend

Home educated

Attends a specialist/alternative provision

Not currently in education

Unsure/something else

Is there anything you'd like me to know that can help make our Zoom session more accessible for you?

For example, pacing, breaks, caption, camera off etc?

Is there anything else you'd like me to be aware of or any more information you'd like to add around the previous questions?

I understand this is a contained DLA process, with communication outside of the Zoom taking place by email

Yes