Class E - moved to a care home or hospital to receive care
Application form
Uploading evidence
Please take a photo of your evidence, save the photograph to your device beforehand and please keep to a maximum of 12 megabytes.
Privacy Notice
We collect, hold and process information supplied by you in accordance with the Data Protection Act, to allow us to provide services effectively.
Our Privacy Notice is available here
Declaration
I declare that the information given above is to the best of my knowledge, true and accurate and the Council may verify this from the appropriate sources. I undertake to notify the council as soon as these circumstances change, and I acknowledge that failure to do so could result in a penalty being imposed. I understand that the information given on this form may be matched against data held by other departments and local authorities.