Deaf And Wealth Allowance

Deaf And Wealth (D&W) Form

First Name

Last Name

Email Address

Address

Post Code

Date Of Birth

Phone Number

NI. Number

If Employed, Are you working over 16 hours

Yes

ID of the person who refer you to this scheme

Previous address if you moved within 5 years

When you have submit, you should be received email within 48 hours for confirmation, and progress with your claim.