Download document

Do you need software?

In order to view downloaded PDF documents you will need Adobe Acrobat Reader installed on your computer.

>> Further information

Get Acrobat Reader

Title:Sample Declaration Form for trusts using an approved contractor 
Overview:This form must be completed by trusts using an approved contractor for the 2016 Emergency Department Survey. The form should be completed as detailed in the instruction manual. 
Category:Data declarations 
Location:England 
Trust Type:Acute or Multi-Service Trust 
Survey Type:Emergency Department 
Author:The Co-ordination Centre 
Publisher:The Co-ordination Centre 
Date Published:September 2016 
Last Amended:October 2016 
Download now