Application for DFG Accessible Homes Grant

Section 1

1. Application case number (just the 6 digits after 'CA-') *

This number will be on the letter we sent you

2. Name *

3. Date of Birth *

4. National Insurance Number *

5. Telephone Number *

6. Email Address *

7. Address *

Postcode

Are you the grant applicant or acting on behalf of the applicant? *