Alertlines 4 Carers On-line Application Form

Working in partnership with Careline365 we are offering FREE installation and the first SIX MONTHS FREE for Connected Living – At Home Package. This will include a monitored Home Alarm and Pendant. Connected Living will undertake an assessment with the customer and Carer during the installation. Further funding may be available from The Leonardo Trust for an extended service, additional equipment or a keysafe if required.

I understand that all information supplied on this application form to Leonardo Trust will be kept strictly confidential and will only be used for the purpose of selection and administration. The information I have given in this application is, to the best of my knowledge, true and accurate. I accept that any false or misleading statements may be sufficient cause for rejecting an application. A copy of our Grant Making Policy is available on our website, www.leonardotrust.org or alternatively from our Broadstone office.

I understand that if funding has been agreed, this information will be shared with Connected I understand that if funding has been agreed, this information will be shared with Careline365 who will store my information in accordance with Data Protection Law. More details can be found on our website: www.careline.co.uk/privacy-policy/

The trustees regret we are unable to reimburse costs already paid or anything that has been booked, contracted for, or reserved prior to our agreement to fund/part-fund the cost.