• Guidance notes (please read before completing)
  • Details of the person with MND
  • Details of the person making the application
  • Grant details
  • Payment details
  • Data protection statement
  • Complete

Guidance notes (please read before completing)

Our grants are designed to make a difference to those living with or affected by Motor Neurone Disease (MND).

  • Our Quality of Life grant is for equipment/services that would help to improve the quality of life of a person with MND. 

  • This grant is not suitable for items that require an assessment by a health or social care professional (please see the Support (Care) grant application form for more details of this grant).

  • Funding is limited, and applications will be assessed based on the impact that the item or service would have on the person with MND.

  • Please note that although the maximum for a Quality of Life grant is £500, we consider budget, value for money and the impact of the grant, and may award any amount up to the maximum.  

If you require any advice before making you application, please contact our Support Services team on 0808 802 6262.

Exclusions

We will not provide a grant in the following instances:

  • Equipment and adaptations that are a statutory responsibility 

  • Retrospective funding 

  • Emergency healthcare needs 

  • Funeral costs

  • Repayment of Debt 

  • Legal Fees             

We may provide a grant in exceptional circumstances and the process is detailed in our Support Grant Guidance in Section 7. 

Please complete the application form as fully as possible – all questions are mandatory (see Appendix A of the Support Grant Guidance for exceptions). Please make sure that quotations (or supporting evidence of expected costs) are included, and all required information is provided as incomplete application forms will result in the application being delayed whilst further clarification/information is requested. 

Disclaimer

The Association is not a party to any agreement that you may enter into with the service provider, it has not vetted the service provider, nor does it endorse the service provider or accept any liability for any loss that may be incurred or any responsibility for any issues or problems that may arise as a result of your dealings with the service provider. 

Details of the person with MND

Click here to enter your address manually.
Some people like to be addressed formally (like Mr Jones or Mrs Smith) and some people prefer to be called by the first name.  We'd like to know what you would like us to call you.
Preferred method of communications relating to this application

Providing us with the person with MND’s work history enables us to potentially approach other charities that support families of people who currently, or have previously worked, in specific jobs/professions/armed forces, and may be able to help with the cost of the item/service you require.

Please list as many as applicable:

We don't require you to provide this information, but if you do, it helps us understand how different communities use our services. The data is anonymous, and our goal is to figure out if there are any obstacles preventing people from participating. Our ultimate aim is to make our organization welcoming to everyone.

Details of the person making the application

Click here to enter your address manually.
Some people like to be addressed formally (like Mr Jones or Mrs Smith) and some people prefer to be called by the first name.  We'd like to know what you would like us to call you.
Preferred method of communications relating to this application

Grant details

£
Is the person with MND able to part fund this item/service?
£
How will this improve quality of life for the person? Please be as detailed as possible as the information provided will be used to assess your application.  
Maximum 3 files. 100 MB limit. Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

Payment details

If a contribution from the MND Association is agreed, we will contact the relevant person/supplier to arrange direct payment where appropriate.

Data protection statement

The Association will follow procedures for recording, storing, and updating personal information all of which will comply with the Data Protection Act 1998 and any subsequent legislation including the General Data Protection Regulation.  We may occasionally share your information within the Association and with local health and social care professionals where it helps with your care and support or with development of better services.  If you have already expressed a preference for future contact we will follow these, if not, we may ask you for your views on how our services might be improved. If you do not want us to be in contact, please let us know on [email protected] 

Please see our privacy policy for full details of how we use your information.  

In making this application I consent to:

  • This application being made for/on my behalf
  • Details of this application being held on record by the MND Association

I also confirm the following: