Flexible Break Fund Application Form

PLEASE NOTE WE REQUIRE PHOTO ID FOR ALL APPLICANTS

Administered by Trafford Carers Centre to provide respite, holidays, short breaks and days out for unpaid carers.

Flexible Break Fund Application

  • Name of person for who the fund will benefit
  • The DOB of the carer


















  • Name of the person you primarily care for
  • DOB of the person you primarily care for










































  • DATA PROTECTION

  • As this fund is commissioned by Trafford Council we have an obligation to provide information on how this fund is spent. Therefore your details will only be shared with this third party.



  • Thank you for completing the form. Once your form has been received you will be sent a declaration which will need to be completed by a Voluntary Organisation, Social Worker/Care Manager, Doctor/Health Professional who knows you as a carer. This person may also submit a supporting letter for your application, if they wish. Your form will not be processed until this declaration along with photo ID and where applicable other supporting documents have been received by the Flexible Breaks Fund Team.