Dewis Centre for Independent Living (C.I.L.)

A voluntary organisation working in six Local Authorities

Ffurflen Gais Ar-lein

01443 827930

Ffurflen Gais Ar-lein

Please read these notes before completing this form:

  • This online application form will be sent by email to Dewis CIL. Email is not a secure means of communication – rather like a postcard. If you do not want the form to be sent by email, please download the form as a word document. This should be printed out, completed and returned to us by post.
  • You are encouraged to prepare some of your answers before hand in a document and paste the text into the relevant boxes. If your internet connection is lost while completing the form, you will have to start again.
  • Certain fields marked with a red asterisk * are always required. Any you omit will be outlined in red after you click the “Submit” button. After completing those fields, click submit again.
  • You will receive an acknowledgement of your submission by email from Dewis CIL. The email will also contain a copy of the form that has been sent to us. If you have not received it after an hour, please check your SPAM box.
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Dewis CIL yn gweithredu polisi mynediad agored ar yr holl gofnodion a rydym yn disgwyl i\'r unigolyn gytuno i atgyfeiriad gael ei wneud, gan dybio bod ganddynt y gallu i wneud hynny. Mae hyn yn bwysig er mwyn sicrhau bod eiriolaeth yn effeithiol, yn dryloyw ac annibynnol.
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