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Apply for your new device in minutes

Illustration depicts a man sitting cross legged on the floor holding a smart speaker in his hand.

Use this form to apply for a free device, for yourself or on behalf of someone you support. If you'd like to check what's available or confirm you're eligible first, take a look at our audio devices page.

Need a hand with the form? Call us on 01622 754757 or email hello@visably.org.uk, we're happy to help.

Who are you requesting an audio device for?

Referrer details

* indicates a required field.

Please enter the details of the person who is making the referral

Please note that some devices are only available via referral from sight loss or support professionals.

Please describe your relationship with the person you are referring.

British Wireless for the Blind Fund (BWBF) would like to keep you informed by email about our future services, events and fundraising activities. For information about how we use your data and how to unsubscribe, please read our Privacy Policy.

Personal details

* indicates a required field.

Please enter details of the person who’ll receive the device

If the the person who will receive the device does not have a valid email address, please add a relevant friend or relative's email address here. Please note professionals making referrals must supply a different email to their own.

Address

Or enter address manually

Where should this device be delivered?*

Eligibility confirmation

To get one of our devices, you need to be:

  • a resident in the UK
  • living with sight loss.

You also need to be receiving one of the following benefits:

  • Disability Living Allowance (DLA)
  • Personal Independent (PIP) or Attendance Allowance (AA)
  • Adult Disability Payment (ADP)
  • any means-tested benefit
  • a parent or guardian receiving one of these benefits (if the person receiving the device is under 18).

Sight loss registration*

Please confirm your sight loss registration

Select an audio device*

If you are unsure if you are eligible or are not sure which device is right for you, please visit our audio devices page (this link will open in a new tab so that you can come back to this form). You will find details about our range of audio devices, who can apply, as well as user manuals and instructions.

Please note that devices that require a professional referral can only be selected if you’ve selected ‘sight loss or support professional’ in the referrer details section of this form.

Further information

Please tell us a little about how this audio device would benefit you (or how it would benefit the person receiving the device, if you are referring someone else). We only use this information to review and improve our services. It won’t be used to inform our decision about whether we award an audio device.

Confirmation

British Wireless for the Blind Fund (BWBF) would like to keep you informed by email about our future services, events and fundraising activities. For information about how we use your data and how to unsubscribe, please read our Privacy Policy.

This audio device is on loan and remains the property of British Wireless for the Blind Fund (BWBF). Please notify BWBF if things change, and you no longer meet our eligibility criteria. Please do not give away or sell the device. If the device is damaged or stops working, please notify BWBF.

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