If you have any difficulties completing the form, please get in touch with us. Your answers help us get a picture of your situation and how we can best support you. There are no right or wrong answers, but please complete all sections.
Please note that Carers Link can only support one short break per household per year. We may be able to help in other ways or signpost to other grants, so please email valerie@carerslink.org.uk and enquire.
As the application form is online via SmartSurvey, your IP address will be automatically collected but won't be used to process the application. SmartSurvey is GDPR compliant and their privacy policy can be found on their website.