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Welfare Rights Assistance Request

Page 1 of 3
Section 1: About the person receiving care
Section 2: About the person dealing with your financial affairs ( if applicable)
If you would prefer us to discuss your finances with somebody else we will need your consent. Please tick the box below to confirm that you give your permission for us to discuss your finances with the person detailed below
Section 3: What assistance is required?
Section 4: Other information or assistance required?

Data Protection

Halton Borough Council is the Data Controller for the personal information you provide. We collect and hold information about you in order to process your booking. For further information regarding data protection please visit our Data Protection and FOI web page