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Non-family applications

CLS APP 11 Application for discharge

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About this form

The CLS APP 11 form is an:

• application for discharge

Providers need to fill this form in on behalf of their client. Please use black ink.

This form was last updated in June 2009.

Download

• Download CLS APP 11 form (PDF, 80kb)

Where to send this form

• If you work in the Nottingham region then send your form to the Liverpool office.
• If you work in the Birmingham region then send your form to the South Tyneside office.
• If you work in the Cambridge region then send your form to the Chester office.

• If you work in the Wales region then send your form to the Cardiff office.

• If you work in the London region then send your form to the London office.
• If you work in the London region and your form is for Housing work then send your form to the South Tyneside office.

• If you work in the Brighton region then send your form to the Liverpool office.
• If you work in the Bristol region then send your form to the Bristol office.
• If you work in the Reading region then send your form to the South Tyneside office.

• If you work in the Newcastle region then send your form to the South Tyneside office.
• If you work in the Leeds region then send your form to the Liverpool office.
• If you work in the Manchester region then send your form to the Manchester office.
• If you work in the Liverpool region then send your form to the Chester office.
• If you work in the Chester region then send your form to the Chester office.

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Last updated: 04 October 2011