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FORMTEXT      AUTHORISATIONBUDGET HOLDER FORMTEXT      TEL NO. FORMTEXT      DATE FORMTEXT      SSD PURCHASER FORMTEXT      TEL NO. FORMTEXT      SIGNATURE FORMTEXT      DATE FORMTEXT      COPIES OF AUTHORISED FOMS TO:- INCOME MANAGEMENT, SOCIAL WORKER, SERVICE PROVIDER, CARE BROKER AND FILE      EMBED CorelPhotoPaint.Image.9 (Birmingham Social Care & Health Adults Services Form (P) SS8046 Version 1.5.0 Sept 2012Personal information given to us is subject to the Data Protection Act 1998 and will be used to assess your needs and provide services if you are eligible. 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