This is what we send you — an example, filled in for a made-up person

Example only — Margaret and Jean are made-up people

• We fill in every page with you on the telephone, in words that give you the best chance of the higher rate.
• We print it and send it to you first class.
• You only read it, sign it and send it off.

Tap a page to see it full size. Your own form is filled in with your own words, from what you tell us on the phone.

England and Wales: Attendance Allowance form

• p. 3 · About you
• p. 7 · Illnesses and medicines
• p. 13 · Getting in and out of bed
• p. 14 · Toilet needs in the day
• p. 15 · Washing and dressing
• p. 17 · Moving about and falls
• p. 23 · Help at night
• p. 25 · Anything else — her day, hour by hour

Scotland: Pension Age Disability Payment form

• p. 9 · About you
• p. 36 · Conditions
• p. 45 · Getting in and out of bed
• p. 47 · Washing
• p. 50 · Toilet and incontinence
• p. 54 · Moving around and falls
• p. 78 · Toilet at night
• p. 84 · Anything else you want to tell us

The forms contain public sector information licensed under the Open Government Licence v3.0. Phone numbers printed on the forms are left out of this example.