Form of Authority In order for us to work on your behalf, we require the below form to be completed online or in person. Name *National Insurance number *Email Address *Phone *Address *In order to help you we need to store information about you. The law says we must get your consent to do this. Everything you tell me will be treated confidentially. By signing this form you are allowing me to act on your behalf, to make enquires, receive and store information regarding your affairs and receive medical evidence relating to you. Please see our Privacy Policy for further clarification. I authorise the Beverley Cherry Tree Community Centre to act on my behalf We are subject to external audits and your file may be reviewed by auditors. Please confirm to give authority for them to review your file Submit form
