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Welfare Fund Application Form

The Welfare Fund is available to older people (50+) and carers of/adults with learning disabilities living in the Medway towns.

Welfare bursaries are provided according to the level of need and level of access to services being sought, and are designed to fill gaps left by temporary financial difficulties. We provide a safe, non-judgemental space to discuss your worries on an individual basis, and welcome applications at any time.

Are you completing this form on behalf of yourself?

If yes, please complete this section

Please obtain the applicant's consent before completing this form, and confirm below.

Applicant details

Next of Kin

Your Circumstances

Care Manager Details

Final Steps

I confirm that all the details I have provided are true and agree that my details will be shared with Age UK Medway staff in adherence with their Fair Processing Notice

If you would find it easier to complete this by hand, we can post this to you with a pre-paid return envelope, simply call us on 01634 572616 or email us at enquiries@ageukmedway.org.uk.