Form for Requesting Grant Assistance

ONLY TO BE COMPLETED BY RESIDENTS OF NORTH EAST LINCOLNSHIRE, UK.

Form for Requesting Grant Assistance - on-line version

Please click on the link above to complete a request for grant assistance form on-line. You can either submit the form electronically or print the completed form.

Please click on the link below to print a blank request for grant assistance form for completion by hand.

Form for Requesting Grant Assistance - print version (pdf file)
You will need Adobe Acrobat Reader to open this file. If you do not have this programme installed on your computer, you can download it from our Downloads page.

Once you have completed the form it must be printed off, signed, dated and sent back to us by post to:

North East Lincolnshire Council,
Partnership & Inclusion
Private Sector Housing,
Freeman House,
Freeman Way,
Grimsby,
North East Lincolnshire,
DN32 7AU