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Worcestershire County Council
Disability Ramp
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1
Request Details
Please select how the disability ramp will help
Will assist an individual
Will assist the wider community
Please explain why the Disability Ramp is needed and why it would help
2
Location
Tick this box if you have any disabilities that will prevent you from selecting a location on a map
Please mark the following position on the map:
• position of disability ramp
Zoom in and move the map to the desired location, then click the map to place the pin.
3
County Councillor Information
Are you a County Councillor?
Yes
No
Do you have County Councillor support?
Yes
No
Councillor Name
4
Application Supporting Evidence
Evidence Of County Councillor Support
Upload supporting evidence of County Councillor support below if you have any, for example:
• a letter from your County Councillor
• a press cutting
• minutes from a forum
You can upload more than one piece of evidence.
File Name
No files uploaded...
Other Evidence
Upload other supporting evidence below if you have any, for example:
• supporting evidence for work when applicable
You can upload more than one piece of evidence.
File Name
No files uploaded...
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