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Step 1 of 16 — Child & form details

DLA1 Child Support Pack

This builds a full, question-by-question companion to the real DLA1 Child form (gov.uk, version 10/25) — every answer mapped to its exact question number.

The child

Surname / family name

Other names in full

Date of birth

Sex

Home address

Nationality

Child's NI number (leave blank if none)

How did you receive this form?

Tonight's build covers the standard downloadable DLA1 Child form (89 questions). If you have a personalised DLA1A, question numbers may differ — we'll still draft your answers, but double-check numbering against your actual copy.

Living in the UK (Q10–22)

Most families answer "standard" here — born in the UK, always lived here, no time abroad or in hospital recently. If anything's unusual, tell us and we'll draft those sections properly instead of guessing.

Standard case: UK-born, always lived in England/Wales, not currently in hospital, no stays abroad in the last 3 years, no EEA/Switzerland pensions or work

Tell us what's different

GP and other health professionals (Q23–29)

Child's GP name (or surgery name) Surgery address

Surgery phone

Date of last GP contact about this

Any other health professionals (not GP) supporting the child?

Example: "Dr A Chen, Community Paediatrician, Newham Community Paediatric Clinic, 020 xxxx xxxx, sees Ava for developmental delay, last seen 12/05/2026."

Any assessments had or due (audiology, MRI, speech therapy, IQ test, etc.)? Any letters or reports you'll send as evidence?

School / nursery (Q30–37)

Name of school/nursery Address

Contact name at school

Contact phone

Type of setting EHCP / IEP / SEN plan status

Health conditions & treatment (Q40–41)

List each condition/disability, how long they've had it, treatment, and how often

Example: "Global developmental delay — since birth, identified 2023 — Community Paediatric Clinic monitoring — ongoing. Speech and language delay — since 2023 — weekly SLT sessions."

Any aids, adaptations or equipment used or assessed for? Do their needs stay the same most days, or change day to day?

Mobility needs (Q43–53)

Can the child physically walk? Describe their walking, balance, distance/speed, and any falls Do they need guidance or supervision most of the time walking outdoors? Describe outdoor safety awareness — roads, danger, getting lost, distress When did mobility needs start? (approx date OK)

Daytime care — personal care (Q54–60)

Getting in/out of bed, toilet needs, moving indoors/stairs Washing/bathing, dressing/undressing, eating and drinking Medication or home treatments

Daytime care — senses & communication (Q61–65)

Difficulty seeing? Difficulty hearing? Difficulty speaking? Difficulty communicating / understanding others? Fits, blackouts, seizures or similar?

Daytime care — safety, development & school (Q66–69)

Supervision needed to keep them safe (danger awareness, behaviour, distress) Extra help with development (understanding the world, playing, behaving appropriately) Help needed at school/nursery day to day Help needed for hobbies, social or religious activities

Night-time care (Q70–71)

Waking, settling, toileting, supervision needed overnight

Example: "Wakes 2-5 times a night, every night. Needs 20-45 minutes each time to resettle. Needs help with toileting/nappies 7 nights a week."

When did these care needs start? (approx OK)

Anything else? (Q72, Q89)

About you, the claimant (Q73–83)

Your surname

Your other names

Your date of birth

Your NI number

Your address (if different to the child's)

Your relationship to the child

Your nationality

Are you or anyone in your household getting/waiting on Income Support?

Payment details (Q84–88)

Same privacy guarantee applies — bank details never leave this browser tab except inside the one drafting request, and are never written to any database.

Name of account holder Bank or building society

Sort code

Account number

Building society roll number (if any)

Consent to AI processing

Your answers are sent once to draft your pack, then discarded — nothing is stored on our servers. This consent only controls whether AI is used to help draft your answers.

I understand my answers will be processed by AI to draft my support pack, and I consent to this processing under the terms of Fill My Form Direct's privacy policy.

Building your pack

This drafts all 89 questions and can take a couple of minutes. Please don't close this tab.

Starting generation…

Your pack is ready

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