Please see here, for a guide to a quick reference guide to which application form is best suited to your requirements.

All forms can be downloaded below, in addition, paper copies can be posted to you and we offer assistance in completing these forms if required – please get in touch if you require any help here

 

Form Code Form Title Download
A WIBSS – New Stage 1 Chronic Hepatitis C application Application Form and Guidance notes
B WIBSS – New Stage 1 Chronic Hepatitis C application (beneficiary deceased) Application Form and Guidance notes
C WIBSS – New HIV application Application Form and guidance notes
D WIBSS – New HIV application (beneficiary deceased) Application Form and guidance notes
E WIBSS – Stage 2 Advanced Hepatitis C Application Form and Guidance notes
F WIBSS – Stage 2 Advanced Hepatitis C application (beneficiary deceased) Application Form and guidance notes
G WIBSS – Application for Bereavement & Regular Payments (widows, widowers, partners & dependents) Application Form and guidance notes
H WIBSS – Change of Details Application Form
I WIBSS – Contact Preferences Application Form
J WIBSS – Application for one-off Discretionary Grant Application Form
Small Grant Criteria
L  WIBSS – Enhanced stage 1 plus application (only for current stage 1 beneficiaries) Application Form