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1. You must have agreement from your head of service to register an interest in taking part in the peer inspection scheme. Please tick the relevant box to confirm you have their approval to take part: *

 

2. Name:

 

3. Role:

 

4. Local authority:

 

5. Work contact details:

 

6. Do you have a Microsoft Office 365 account:

 

7. Home postcode:

 

8. Registered with Social Care Wales:

 

9. SCW Registration Number: