FORMS

Form of Authority

You can view by clicking the button below:

You can either download this client declaration, print, sign and post back to us or you are able to sign online, using your mouse/Trackpad on your PC/laptop or your finger on mobile devices. Please complete the form fields, these will populate into the correct areas of the form and will be sent to us electronically. You will receive an email with a copy of the client declaration for your reference.

Form of Authority

    Name

    Address

    NI No

    D.O.B.

    Benefits Received
    Income Support (Y/N)

    Income based Job Seekers Allowance (Y/N)

    Incapacity Benefit/ESA (Y/N)

    Other (Y/N)

    Client Signature - use your mouse or finger to sign in the area below

    Date

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