Loading
Get Ss 123 Last Reviewed April 13 Page 1 Ss123 Sp Bapplicationb To Bb - Content Durham Gov
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the SS 123 Last Reviewed April 13 Page 1 SS123 SP APPLICATION TO B - Content Durham Gov online
This guide provides a detailed overview of how to fill out the SS 123 form, which allows individuals to apply for registration as a disabled person. This process is important for accessing benefits such as concessionary travel.
Follow the steps to successfully complete the application.
- Click ‘Get Form’ button to obtain the form and open it for editing.
- Begin with Section A - Personal Details. Fill in the title (Mr/Mrs/Miss/Ms), surname, first names, date of birth, address, postcode, and telephone number. Ensure this section is completed in black ink, and if applicable, mention any alternative method of assessment for disabilities related to deafness or blindness.
- Provide your National Insurance number and select your ethnicity from the list provided. This information is collected in accordance with government equality policies and will be treated confidentially.
- In Section B - Previous Assessments, indicate if you possess a Blue Badge or if you have a social worker. Check the boxes for any benefits you receive, such as Employment Support Allowance or Disability Living Allowance, and provide their start dates.
- For Section C - Assessment for Mobility and Personal Care, answer the questions regarding assistance needed for various tasks such as getting up, moving around, and personal hygiene. Check the appropriate boxes to indicate frequency.
- In Section D - Details of Your Medical Practitioner, provide the name and address of your medical professional. Answer questions regarding your visit frequency and your consent for the local authority to contact them for further information.
- Complete Section E - Declaration. Confirm that all information provided is accurate and indicate your consent regarding communication with your medical practitioner. If signing on behalf of the applicant, state your relationship and ensure that you are over 16 years old.
- Finally, review your completed form for accuracy and completeness. Users can then save changes, download, print, or share the form as necessary.
Complete your application online to ensure you receive the assistance you need.
Create HTML Use a <form> element. Add three <label> elements with the radio input type, name and value attributes. Add the required attribute within the first <label>. Add an <input> with the type “submit”.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.