Apply for decorating help

Before you send this form, check that you qualify for decorating help.

Surname* First name* House/Flat number* Road/Court* Email address

I cannot do the decorating because:

I have a disability I am in ill health I am elderly Another good reason (Please say below)

Is there anyone else who could do the decorating for you?

Yes No

Which room(s) would you like decorating?

a. b.

Has Parkway Green or Manchester City Council done decorating for you before?

If yes, when was it done? (month & year)

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Data Protection

The information you supply on this form will be sent to Parkway Green Housing Trust. It will only be used to process your request for information or the service(s) described on this page. Any details you supply will be treated confidentially and will only be used in direct relation to work needed to carry out your request.