Proof of terminal illness

If you are terminally ill with a progressive disease and a diagnosis that you are not expected to live for more than 12 months. We recommend that a doctor, consultant, MacMillan nurse, or healthcare professional completes this application on your behalf, as they will need to provide one of the following for you:

  • a signed and dated letter on headed paper from a hospice, specialist cancer nurse or consultant
  • SR1 form dated within the last 12 months
  • DS1500 form dated within the last 12 months.  Example of a DS1500 form (PDF, 74KB)