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Request for Grant Assistance

Date of Enquiry:
04 Dec 2008
Only to be completed by residents of North East Lincolnshire, UK
The return of this completed form does not constitute a formal application for grant. Information requested at this time is only on an informal basis. The amount (if any) cannot be confirmed until a formal application is submitted.
YOU MUST NOT START ANY WORKS UNTIL A FORMAL APPROVAL IS GIVEN!
You may also require "Building Regulation" approval or "Planning" permission depending on the works necessary. You must, therefore, consult the Department of Development & Environmental Protection at Town Hall, Cleethorpes, on this matter.
Type of property *Please select any descriptions that apply







Does the property lack any of the following amenities? Please select the any of the amenities that you need



Are any of the required works the subject of any insurance claim?
Are you, or your spouse/partner in receipt of any of the following benefits?






Is the property subject to any of the following? Please select all that apply





Are you or your spouse/partner registered blind?
Are you or your spouse/partner registered disabled or capable of being registered disabled?
Do you have any children living with you who are under 16 years of age?
Please indicate your ethnic origin by ticking one of the following boxes
 

DATA PROTECTION NOTICE
North East Lincolnshire Council is a Data Controller for the purposes of the Data Protection Act 1998. Any personal information supplied on this form will be processed in accordance with the principles of the Act. If you want to find out more about your rights under the Act, you can contact the Office of the Information Commissioner (tel: 01625 545 700 / http://www.dataprotection.gov.uk) or the Director of Law and Democratic Services on 01472 313131.



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Created by   :   Private Sector Housing
Last Updated   :   13 May 2008

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