Important - Over 65? please use our Attendance Allowance section. Under 16? please see our Children and DLA section.

Are you aged between 16 and 65?

Answer to question 1

( section before you answer)

Have you had care or mobility needs for the last three months?

Answer to question 2

( section before you answer)

Are you likely to have those needs for the next six months?

Answer to question 3

( section before you answer)

Have you lived in Great Britain for at least 26 weeks in the past year?

Answer to question 4

( section before you answer)

Do you have an unrestricted right to live in Great Britain?

Answer to question 5

( section before you answer)

Please submit your responses

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