Grant Assistance Form
Please only complete this form if instructed to do so by the AYL team.
Our case manager will contact you shortly to arrange payment for your chosen support package. However, our trusted partners have kindly offered to deduct the cost of this service from your final product invoice, so you can enjoy this service at no additional cost!
For new users, please complete our equipment request form to start your equipment journey.
We can help you with:
Personalised advice based on your lived experience and needs
Connecting you with local partnered professionals we’d use ourselves
Offering exclusive discounts where possible
Securing funding through our Grant Assistance Scheme. Over £600,000 raised so far to help people just like you!
To get started, Complete our Grant Assistance From
Important Note – Our form may take a few seconds to load, so please refresh the page if needed. This is because we store your data externally to keep it safe, which may cause a slight delay in loading everything.
We know forms can be overwhelming.
If you’d prefer to talk to someone first, or fill out this form over the phone, call 07594650130 and leave a message with your name and number, and our case manager will get back to you as soon as possible. (Usually between 10am and 4pm GMT, Monday to Thursday)
You can also email any questions to:
[email protected]
If you’d prefer to talk to someone first
If you would like help to fill this form in over the phone, call 07594 650130, leave a message with your name and number, and our case manager will get back to you as soon as possible.
(Usually between 10am and 4pm GMT, Monday to Thursday)
You can also email us any questions via our contact page
