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Family Allowance Form

Give plenty of information in your own words about your personal circumstances. Don’t worry if you need to repeat yourself.

Filling in the Attendance Allowance form can be difficult - there are some personal questions which can be emotionally draining. Do not worry though - help is available and you do not have to fill in the form alone.

How to answer questions about personal tasks? Questions 27-43 ask about your care needs with personal tasks. It is really important that you use the blank boxes to explain if you:
1. Have difficulty or need someone to help you with personal tasks - for example washing, getting out of bed or getting dressed - at least 3 times during the day.
2. Have difficulty or need someone to supervise you throughout the day to make sure you stay safe - for example to stop you falling or to look after you if you have seizures or blackouts.
3. Have difficulty or need someone to help you with personal tasks repeatedly (2 or more times) during the night or just once if it is for 20 minutes or more - for example if you need help getting out of bed, going to the toilet or changing the sheets if you have an accident.
4. Need someone to watch over you or supervise you during the night to make sure youare safe - they need to help you at least 3 times, or just once if it is for 20 minutes or more, for example in case you have a fit while you are asleep, or to stop you falling over if you have to get up.

Remember to include any help you need during the night too. You should also write on the diary how many times you need help with tasks like getting out of chairs. If you get help to fill in the form from your nearest Citizens Advice, remember to take your diary with you.

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