Application Form

We review all applications and will issue devices as soon as possible: due to the current demand for our service, we aim to respond to applications within four weeks.

We will contact you by phone or by email if your application is successful to arrange a collection appointment.

Please complete all fields for us to best assess your application. Applications are open to organisations in Wiltshire and neighbouring counties.

If you have any queries or need help completing this form, please email

    Please select the type of organisation you're applying from (Please tick) *

    Please tick all the boxes to confirm that the intended recipient/s of a device fit the following criteria and terms

    If your application is successful, you may be asked to feature in, or supply photos, videos or testimonial quotes to help promote the work of WDD.

    These will be used as part of our press releases, social media posts or featured on our website.

    We will work with you to use content that adheres to your organisation’s safeguarding policies.