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Apply for help

Please complete the form below and click next to move to the next page.
There are three pages to complete. On the last page, please click Submit to send your application.
Dont worry if you can't find all the information, we will be in contact and fill in the gaps.
In order for us to contact you, it is essential that you complete all boxes marked with an asterisk.

Your details (1/3)
	Please complete the following section with your own details.
	Full name
	House name or number *
	Street name *
	Town/City *
	County
	Postcode *
	Country
	Telephone
	Email *
	Your age *
	Relationship to eligible person

Eligible person (2/3)
	Please complete the following section with the eligible person's details
	Full name
	House name or number
	Street name
	Town/City
	County
	Postcode
	Country
	Telephone
	Date of birth
	Service number
	Service
	Service from
	Service to
	Previous last name (if applicable)
	Details of help required
	Where did you hear about us? *
	Other source

Your consent (3/3)
	Your consent is required to allow us to pass your details, in confidence, to other organisations regarding matters relating exclusively to this application.
	I agree that, in order to initiate my application, my Service details will be checked with the RAF Records Office. I also agree that in order to process my application certain details that I have provided may be disclosed to various organisations including the Department of Work and Pensions, hospitals and GPs. Additionally, I understand my details may also need to be disclosed to other charities (including religious charities) and similar organisations for the purpose of possible additional funding for my application. Where any person upon whom my eligibility is based is currently resident abroad, I understand it may be necessary to send my details to that country for verification purposes. *

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