Laptops for Veterans

PLEASE NOTE – When applying for a Laptop from the Tom Howat Memorial Hardship Fund this must include a referring agency detail i.e., Charity, CIC, NHS/GP, Local Authority, other connected Armed Forces Organisation, Regimental Association or other non-military support organisation. Once the form has been submitted the application is reviewed by our Trustees. We will email the agency and the beneficiary with the progress of the request. Please Note full-service details must be completed. Agents – Please Read our Laptop Request Terms and Conditions HERE before completing this form. PLEASE NOTE WE ONLY DONATE LAPTOPS TO VETERANS THAT ARE NOT IN EMPLOYMENT and/or Suffering from Hardship Issues, which are both checked during the decision making process.

Each case will require a Head Office contact name and email address who will be copied into our decisions.

Contact Name (Agency)
Contact email (Agency Contact))
Organisation Name (Agency)
Organisation Address (Agency)
Telephone Number (Agency Contact)
Head Office Contact Name	Will be copied into decision Acknowledgements
Head Office Contact eMail	Will be copied into decision Acknowledgements
Authorisation	We confirm we have permission to act on behalf of the named beneficiary
Please send the Laptop to:
Confirmation	We confirm that we have carried out an ID check and proof of service & Address and that the details in this request are correct
The beneficiary needs	The beneficiary needs A Laptop Some training & Support Some Recruitment Help Some support with isolation
Disclaimer	We understand that where an item goes missing through the wrong delivery details, then the agency will become liable for any replacement items.
Beneficiaries Name
Beneficiaries email
Applicant Accomodation Status
Beneficiaries Address - Required for delivery
Service Number
Regimental Details
Served from
Served to
Terms & Conditions	See links in text at top for Terms & Conditions
Why they need a FREE Laptop
Is the Applicant:	Please confirm the employment status
Pension & Benefits	Pension & Benefits None Unviveral Credit (UC) NS Job Seekers Allowance (JSA) NS Employment Support Allowance (ESA) Pension Credit Housing Benefit Discetionary Housing Payment Support with Mortgage Interest (SMI) Council Tax support Council Tax reduction/discount schemes Care Disregard for Council Tax Personal Independence Payment Disability Living Allowance (DLA) Attendance Allowance Carer's Allowance Severe Mental Impairment for Council Tax State Pension Private Pension Occupational Pension Armed Forces Pension Widows Pension War Pension All personal and family benefits must be declared
Is the applicatant being supported by any other Veterans Agencies
If Yes - How can you help?
Bank Statement	Please upload a copy clients latest bank statement so our team can verify hardship issues, or send to len.chappell@forcesonline.org.uk (Copies are destroyed after use).

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