If you use assistive technology (such as a screen reader) and need a
version of this document in a more accessible format, please email email@example.com.
Please tell us what format you need. It will help us if you say what assistive technology you use.
This form should only be used where there is no time to make a full application by post or DX.
Do not use this form if you have already granted emergency funding using delegated authority.
The use of delegated functions should be reported on CIVAPP1 and CIVAPP3.