Get L Q Transfer Application Form

This guide provides step-by-step instructions on how to fill out the L Q Transfer Application Form online. Completing this form accurately is essential for assessing medical needs related to housing circumstances.

Follow the steps to complete the L Q Transfer Application Form online.

1. Click ‘Get Form’ button to obtain the application form and open it in your online editor.
2. Begin by filling out Section A: Personal Details. Provide your name, address, postcode, and phone numbers including home, evening, and mobile contact information.
3. In the same section, include information about the person(s) for whom a medical assessment is requested, including their name, gender, date of birth, and their relationship to the tenant.
4. Proceed to Section B: Medical Self-Assessment. Answer the questions regarding disability, medical conditions, prescribed medications, and treatments by selecting 'Yes' or 'No' and providing necessary details.
5. Continue with Section C: Your Current Home. Describe any adaptations made to your home, how the housing situation affects the person's disability or condition, and specify what type of accommodation is needed.
6. In Section D: Medical Contacts, include the details of any medical professionals involved in treatments. Provide their contact information for further assistance when necessary.
7. Finally, arrive at Section E: Declaration. Review your entries for accuracy, ensure all necessary signatures are provided, and confirm the information is true and correct before saving your changes.
8. Once completed, you can download, print, or share the form as needed.

Complete your L Q Transfer Application Form online today for timely processing.