Your life. Your plan.
Getting ready to claim benefits
Use the prompts that are helpful to you. You can write, draw, or ask someone to record your own words.
You can type your answers below. You can leave any box blank.
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Download your answers to keep a copy. Closing or reloading this page removes the answers from the page.
Choose who you share your completed copy with. On a shared device, clear your answers when you finish.
Your printout may use more than one page. Choose Larger text for bigger writing.
My claim and deadline
Write the benefit name, form, deadline and who can help. Do not put passwords or bank security details here.
One day or activity
Write the date and what you wanted or needed to do. Use another copy for another day or activity.
Help I needed
Include reminders, encouragement, supervision, communication or physical help.
Help I actually received
Who helped, what did they do and how often? Say if needed help was missing.
What happened
Record time taken, difficulties, risks, discomfort or recovery. Describe what you observed without trying anything unsafe.
Was this day usual for me?
Explain better and more difficult days and how often this happens.
My words and another person’s observations
Record your own explanation. Identify any separate account from someone helping you.
Useful evidence
List relevant reports, care plans or people who know your needs. Note what is ready and what is still awaited.
Access and next steps
Record support requested, any agreed extra time, submission confirmation and the next person to contact.