To apply for one of our grants you can either apply by post or via the online form below. Before we can process your application we will also need to have received a copy of your registration documents or proof that you are registrable. Your application form will not move forward for review until we have seen these. Acceptable documents include:

  • Certificate of a person’s registration as Sight Impaired/Partially Sighted or Severely Sight Impaired/Blind (CVI)
  • BD8
  • Certification from the County Council (which is normally a small card).
  • Letter from an ophthalmologist stating that the young person’s sight is at a level which makes them eligible to be registered if desired (we will accept this if a young person is not yet registered).

If supplying a CVI please include parts 1 and 2. If you are sending a copy of a card, please make sure you include both sides. The information must include the applicant’s name, date of birth and visual acuity.

Applications can be made through our online form or by downloading the Word version and sending it by post.

To apply by post

Click here to download a Word version of the application form

 

Please return your completed form and supporting documents to:

VICTA
5 Douglas House,
32-34 Simpson Road,
Fenny Stratford,
Milton Keynes,
MK1 1BA

or by email to grants@victa.org.uk

To apply online

Please complete the online application form below.

Please note applications for 2019 have now closed. You may still submit your application, however your request will not be reviewed until January 2020.

VICTA Grant Application Form

Note for applicants completing this form

After completion, if you have successfully submitted the form, you should receive a successful submission message. If you do not it may be because you have not completed a required field. Fields which have not been completed will then be marked with the message 'This is a required field' so you may wish to search this. After your form has successfully gone through you will also receive notification via email. If you do not receive an email please contact the office on 01908 240 831 as there may have been a problem with your application.

Part 1 - About the applicant

Applicant details

Parent/guardian details (if applicant is under 18)

Further details

PLEASE NOTE

Applicants must be registered blind or partially sighted, or able to provide proof that they are registrable to qualify for a VICTA grant.

If the applicant is registered, please include a copy of the registration document /card or if not registered, a letter from an ophthalmologist confirming visual acuity. Your application will not be processed without these documents

If you would like to upload any supporting documents such as a copy of your registration documents you can do so here. If supplying a CVI please include parts 1 and 2. If you are sending a copy of a card, please make sure you include both sides. The information must include the applicant's name, date of birth and visual acuity. Only files saved as jpeg or pdf formats will be accepted by the upload. Alternatively you can email them to grants@victa.org.uk

Part 2 - Supporter details

If you have a supporter e.g. a social worker or Qualified Teacher Visual Impairment (QTVI), please include their details here to support your application.

Please note, if you have any documents you would like to send to support the applicant's request further, they can be emailed to grants@victa.org.uk

Part 3 - Grant information

Please Note: Please note that if your application is successful you will be asked to make a financial contribution towards the purchase of the equipment. As a general rule, this will be 20% (iPads require a 50% contribution) at the Trustees discretion. All past grant applications will be taken into account when making a decision.

Part 4 - Grant form completed by:

Part 5 - Declaration

Complaints handling procedure

VICTA Children Ltd has a complaints handling procedure. Full details of the complaints procedure are available on request by contacting us at: VICTA Children Ltd, 5 Douglas House, 32-34 Simpson Road, Milton Keynes, MK1 1BA.

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