Application for Equipment – Individual

Requests for individuals should generally be made on recommendation or referral by a charity, community group, community or social worker, church or church group or local councillor.

All information provided will be treated in confidence in accordance with our GDPR Policy.
We may ask for evidence of eligibility.
The final decision on applications lies with the PCrefurb Trustees.

The person that will use the equipment.
Requests for individuals should generally be made on recommendation or referral by a charity, community group, community or social worker, church or church group or local councillor.
Tick as many as apply.

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