Request a locking cooker valve

Who are you requesting this locking cooker valve for?

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Your Details

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Your relationship to the person you are requesting the Locking Cooker Valve for (e.g. family member or carer)

Property and visit details

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Is there a freestanding cooker?

Yes
No
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Is there a built in hob?

Yes
No
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Is a microwave and cookware pack required?

Yes
No

Permission given by social/private landlord?

Yes
No

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Are there any special requirements we should know about?

Where did you hear about locking cooker valves?

Wales & West Utilities website/social media
Event attended by Wales & West Utilities
I'm a Wales & West Utilities employee
Third party organisation e.g. charity or public services
Other

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