Voucher pack application

As well as completing this form you need to provide us with with evidence of:
  • your identity, eg driver’s licence, passport, birth certificate

  • address, eg council tax, water, gas or electricity, landline phone bill

  • pregnancy or birth: MatB1 form or baby birth certificate.

You can post photocopies (do not send originals) to:
LCRN-RNfL, The Grayston Centre, 28 Charles Square, London N1 6HT

You can scan copies and email them to: coordinator@realnappiesforlondon.org.uk

Please check with the helpline 020 7324 4709 if you are unsure.

   
Title:* Ms Mr
Parent/carer name:*

Address:*

Postcode:*
Borough
Telephone*
Email: *

Child's date of birth* - actual or due. (Eligible up to age of 18 months)

Where did you hear about Real Nappies for London?
   
Note: only the applicant may use the voucher. Please allow three to four weeks after submitting all documents for delivery.
   
Real Nappies for London may keep these details for up to 24 months and contact you for feedback on the scheme. Information will not be passed to persons not involved in the scheme administration or used for any other purpose.
   
The proper use of the voucher is the responsibility of the person named on it. In the event of fraud, the person registered for the voucher will be contacted by the issuing authority and may be prosecuted.

Now please submit your form.