How to Apply:

Click here to check that you live in our area of support by viewing our boundary map. Please read our application notes, review our application dates and FAQs.

You can apply using our online forms, downloading our application forms (these can be found on the top menu under DOWNLOADS) or contacting us for a paper form.

If you aren’t sure if we can help or need further information, email us: jabethell@maryslater.org.uk or call 07546 966964.

Apply Online

Individuals:

Individuals can apply online or by downloading our word or pdf documents.

Please note a patient authority form must also be completed.

Apply Online

Download Word Doc

Download PDF Doc

Holidays:

Individuals can apply online for assistance with a holiday or by downloading our word or pdf documents.

Apply Online

Download Word Doc

Download PDF Doc

Organisations:

Organisations can apply online or by downloading our word or pdf documents.

Apply Online

Download Word Doc

Download PDF Doc

Request a Paper Form

Email us: jabethell@maryslater.org.uk or call Jane on 07546 966964 to request a paper form.

If you need help filling in the form please contact Contact Citizens Advice Bureau (CAB) – quoting Mary Slater – www.casestaffs.org.uk or tel 08080 278 7977.