emergency welfare form
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8/20/2019 Emergency Welfare Form
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Fault Repair Emergency Welfare Pro-forma
This Pro-forma must be used at all times when sending an Emergency Welfare case to the EWCteam in Openreach.
Please be advised, you must be a manager to send this Emergency Welfare case toOpenreach. Cases will be accepted from coaches or team leaders after 7pm and until8am when management presence may not be practical. First, ll out this form, then clic! le, then select send to, and clic! on mail recipient. Ensure youdo !O" clic! mail recipient as attachment. This will generate an e-mail which you will need tosend to emergencywelfare#openreach.co.u$
"emember# Customer must live alone with no access to a mobile phone %e&cluding thosewith a careline pendant'
• $ses a wheelchair or has serious mobility problems
• %as a serious or progressi&e disability or condition
• %as a se&ere mental health problem
• %as a se&erely sic! child
• %as any other serious medical condition
Or, is registered under the Chronically 'ic! and (isabled Persons )ct *+
• The Emergency Welfare team can only help where there is an eisting fault for us to wor!
with. /n the eceptional circumstance of a patient needing a line to lea&e hospital and li&ealone we will accept a pro&ision order.
• /f a fault does not eist then one will need to be raised before approaching the emergencywelfare team.
• /f you are ha&ing problems placing a fault, then direct your 0uery to the rele&ant
Openreach '1C team, they will assist you with any issues you are eperiencing.
• To pre&ent unnecessary delays with an Emergency Welfare case, ensure all 1andatory
/nformation is pro&ided below2 failure to do so may result in re3ection of the EmergencyWelfare case until this is remedied.
!ame of residential customerliving alone, with no mobileaccess and meeting the criteria.
Mrs Eileen Entract
(esidential Customer full address) postcode*
4 Walmer 5ardenEaling6ondon
$7 W*8 +T'
+ccess times and carer neighbours contact number%please be specic with the timeslot, we do not accept - hraccess'
+# 9 *:#
"elephone !o of faulty line 4;:+*
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8/20/2019 Emergency Welfare Form
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i.e. * leaving hospital'
1f provision as part of a homemove for a vulnerable personwith no mobile 2 please adviseprevious C31
=)
Why does this meet theemergency welfare criteriaplease %be specic, as randomchec$s will ta$e place withengineers who attended '
Customer is ha&ing a personal care alarm due to husband>sillness
Please conrm that you haveupdated the fault notes with theaccess times, contact details forcarer and any other relevantinformation about the customerscondition.
?es
Please conrm you are amanager with your name , emailaddress and contact number
Winmar 1aercadowinmar.!enan@tal!tal!plc.com
When you recei&e the EWC case reference number by email, please ensure you put this on yourown fault records to pre&ent contact by more than one manager into Op
mailto:[email protected]:[email protected]