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P. 139
Part 3 - Anyone else who lives with you (continued)
Do any of these people live with you to care for you or your partner? If
yes. please give names:
Are any of the people named on pages 6 - 7
Person 1 Person 2 Person 3 Person 4
Name:
A care worker?
Getting Disability •
Living
Allowance/Personal
Independence
Payment (PIP)?
Severely mentally
disabled?
Getting Attendance
Allowance?
In hospital?
Date they went into
hospital
A student?
Date their course will
end
In prison or held on
remand?
Date they went into
prison or were held
on remand
o SF-B-0035
48
