Easy Read Accessibility Options Documents

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Contact Email *

Advocate: *

Advocate's Email *

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Case Number *

form completed? Number

Advocacy Request: *

Policies explained:

• Advocacy role explained
• Agreement action explained
• Confidentiality policy explained
• Complaints procedure explained
• Persistent or Unreasonable Behaviour policy explained
• Data protection and recording of personal information explained

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Agreed Actions: *

Client Signature *

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