As well as completing the questions on the form, it is important to explain help your child needs because of hearing loss. You may be able to explain their need for extra help or supervision throughout the rest of the form.
Perhaps it takes longer for your child to receive instructions about how to carry out certain activities. You may have to spend more time explaining everyday things such as what is happening on the television, or bringing to their attention certain sounds such as traffic, alarms or announcements. You might have to make more effort to get their attention so that you can speak to them face to face. They may need help with hearing aids — taking them off, putting them on and adjusting them. A child may be unwilling to communicate because they have a limited understanding of their environment, or only choose to talk about things they feel are relevant to them and are comfortable with.
Your child may become angry or frustrated trying to communicate. Write down the different ways your child is helped with communication and what would happen without this help. This applies if your child has symptoms like fits, convulsions, fainting, dizziness, loss of consciousness, or asthma attacks. Explain when these attacks happen, how often, and if there are any warning signs beforehand. What happens during and after an attack? Remember — if your child has attacks and needs someone to keep an eye on them all the time, write this here.
This section looks at whether your child needs someone to watch over them during the day to make sure that they are safe and to ensure that they are not a risk to themselves or to others. All young children, whether disabled or not, routinely require supervision.
So the younger your child is, the more important it is for you to say how the supervision they need is greater, or different, to another child of their age. Think about what could happen to your child without regular or frequent supervision. This section includes help that your child needs to interact with and make sense of the world around them. For example, your child may find it difficult to interact or play with others.
This may be due to problems with understanding or communication. They may need to spend time on their own because their behaviour becomes aggressive or inappropriate. They may need help to play with other children and in how they should behave. Any physical difficulties can also make it harder for children to play because of difficulties with coordination or manipulation. A visually-impaired child may need more attention than others.
They might need help maintaining their interest which means you need to give them extra attention. Or you may need to supervise to prevent harm to your child or other children. This section gathers information about any extra support, care or supervision your child needs at school or nursery.
This can include any extra support to help them learn, but also any extra help they need to manage behaviour, get around the school or nursery safely or to mix with other children in the playground. You should also think about whether they need help at school with things like using the toilet, taking medication or having their lunch.
If your child has a statement of special educational need, Individual Behaviour Plan, Education, Health and Care plan, or in Scotland a co-ordinated support plan the claim form asks you to send these see page 6 of claim form. Call our freephone helpline for further advice.
Include here details of any help your child needs when they go out during the day or night for social and leisure activities, and any support needed for hobbies. This includes visits to the park, clubs, sport activities, going to the cinema, swimming, visiting relatives, drawing, playing on the computer, and watching television.
These are just some examples and you should include any interests that your child has and what help they need. If there are activities your child would like to do if only they had extra help, then list the additional support that would be needed to allow this.
Night-time is the time between when you go to bed until you get up. If you stay up later than you want to because your child does not settle in bed, or if you get up very early, these times also count as night-time. This asks you the date that your child first started to have the care needs that you have described.
Normally your child must have needed extra care or supervision for at least three months before they can receive any payments of the care component. An exception to this is made where a child is terminally ill and claiming under the special rules — see page 8. For example, how their condition might vary, or how their mental health is affected by their condition. Call the Contact a Family freephone helpline for more information.
Attach a letter saying you will send more evidence and when they can expect it. This can lead to delays. If you feel the claim is taking too long, then you can make a complaint to the customer services manager at the office dealing with your claim. Children with disabilities, coping with their condition, can feel frustrated, isolated and upset at times. These can be described as mental health difficulties. This could apply if your child is withdrawn, anxious or depressed, behaves aggressively or gets angry and is uncooperative.
They might act impulsively, have nightmares, or have difficulty coping with routine changes. Say what the difficulties are that your child experiences and also what help you give to overcome or minimise their effects. You might include:. Name First Last. I agree to the privacy policy. This field is for validation purposes and should be left unchanged. This website uses cookies to improve your experience. We'll assume you're ok with this, but you can opt-out if you wish.
We recommend that you read our advice on filling in the DLA form to have the best chance of success. This will be useful in case you need to refer to it later, for example if you need to reapply for DLA after a few years. Your child will keep getting DLA until they have a medical assessment.
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Phone the Disability Living Allowance helpline for a claim form: Telephone Textphone Monday to Friday, 8am to 6pm. Or you can download a claim form from the Gov. UK website. Or you can download a claim form on the NIDirect website. You should give your national insurance number. If you do not have a national insurance number, send in the claim form anyway to save delays. You may also be asked for proof of your identity such as a birth certificate, passport or driving licence. Part of the form must be filled in by someone who knows about your child's disability.
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