This form has been withdrawn.
This form is no longer in use.
WORK CHOICE SUPPORTED BUSINESSES ADDITIONAL PLACES REQUEST
Name of Prime Provider and CPA |
Name of Supported Business for which places are requested |
Number of additional places requested |
Are the places at a Host Employer?  If so, where? |
Please attach a business case to support this request.
Please note: the maximum time permitted to fill a vacancy is 6 weeks from the date that the additional places are requested.
Date additional places are requested. |
Name & contact details of Requester |

For DWP use only:
Date of variation and variation reference

Now email this to the  Disability Employment Provision Policy Team
disabilityemploymentprovisionpolicy.enquiries@dwp.gsi.gov.uk 

Please also inform your DWP Performance Manager

Jul17