Get Fillable Online Application Form - Healthy Start Fax Email ...

Filling out the Fillable Online Application Form for Healthy Start vouchers can be a straightforward process when approached step by step. This guide is designed to assist you in completing the form accurately and efficiently.

Follow the steps to fill out your application form online.

1. Press the ‘Get Form’ button to access the application form and open it for editing.
2. In the first section labeled 'You', fill in your personal details. Enter your title, surname, first name, and date of birth in the provided format. Ensure to enter your National Insurance number and email address accurately.
3. Indicate any benefits you are currently receiving by ticking the appropriate boxes, including Income Support and Universal Credit.
4. In the next section, provide your address and telephone number, ensuring that all details are correct for contact purposes.
5. If applicable, provide information about your partner living with you. Fill in their title, surname, first name, date of birth, National Insurance number, and their relationship to you.
6. Again, tick the benefits that your partner receives, similar to what you did for your own benefits.
7. If you are under 18 or in full-time education, you will need to fill in details about your carer and their partner, if applicable. Include their personal details and benefits as done in previous sections.
8. List the details of any children you have under the age of four. You can continue on a separate sheet if necessary.
9. Indicate whether you are currently pregnant by marking 'Yes' or 'No'.
10. Finally, read and sign the declaration section of the form if you are 16 or older. If you are under 16, ensure a parent or carer signs for you. Include the date and have a health professional complete the necessary certification.

Complete your Healthy Start application online today to benefit from available vouchers.