Additional Needs and Disability Adaptation Request Form

Please complete and submit the form below to make an ANDA Request.

Guidance on Additional Needs and Disability Adaptations, in Service Family Accommodation, can be found within the JSP464 Volume 1 Part 2 at Appendix 1-3 to Annex C to Chapter 6. Alternatively, our Home Services Team are on hand to help and guide you through this process.

ANDA Form

Your Name

Serving person's name/Licensee

Service Number

Have you submitted an E1123 form? You need this if you are transferring in area, your property isn't suitable or you are on assignment. It is not required if you are already in occupancy.

Yes

Please confirm your E1123 number

Email:

Telephone Number:

+44

Squadron or Unit:

End Date of Current Assignment:

Full address of Service Family Home:

Address Line 1

Address Line 2

City

County

Post Code

Country

Name of person requiring additional needs/disability adaptations:

Date of birth

Is the request for yourself, your spouse or partner, or a dependent child permanently living in the home?

Yes

Has an up-to date occupational therapist report or other specialist medical report, containing housing requirements been submitted to [email protected].?

Yes

Upload report here

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