Dorset Appliance Scheme Form

This Dorset Appliance Scheme Form enables assessors to record resident details and select required household appliances, including fridge freezers, fridges with or without icebox, under-counter freezers, electric or gas cookers, washing machines (7–8kg with spin options), and microwaves. It captures exact size requirements, access considerations (floor level, lift, parking permits), and installation readiness such as nearby sockets, cooker isolation switch, and plumbing access for washing machines. Safety checks include the cooker hot zone clearance and general space around doors and drawers. The form notes ownership of existing appliances, eligibility for first-time supply or replacements, removal and disposal of old units, resident health needs (e.g., medication refrigeration, carer requirements), communication needs, alternative contacts, preferred delivery times, and any additional accessibility notes. It concludes with resident acknowledgement and assessor signature to proceed with delivery and installation.