Help with NHS charges and the cost of travel to hospital for NHS treatment / Benefits Agency.
- Great Britain. Benefits Agency
- Date:
- 1992
Licence: Open Government Licence
Credit: Help with NHS charges and the cost of travel to hospital for NHS treatment / Benefits Agency. Source: Wellcome Collection.
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![j 2 Agency office at the moment? Yes |_| Have you or your partner already sent sick notes If you have a partner are they sending sick notes? ; Sick notes are also called medical certificates or doctor's i) Con eeat ponents Agency office No L statements. or e to your employer for Statutory Sick Pay? Yes |_| Are you registered blind? No 1] Is your partner or any of the children you have told us . : about in Pano? Yes |_| ie registered oll Your partner L] ss Child |_| Please tell us their name Are you in hospital? No 1] Is your partner or any of the children you have told us a 2 : about in Part 2? Yes L| Whoisin hospital? You a Your partner L] Child |_| Please tell us their name i hospital? Do you or your partner pay any money for the place No L] where you live that you have not already told us about Yes L] How much do you in this form? pay? What is this money for?](https://iiif.wellcomecollection.org/image/b32223377_0018.jp2/full/800%2C/0/default.jpg)
