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Carer's Support Form

Please use this form to tell us more about how we can support our customer. A member of our team may wish to contact you to agree how we will help. Please note phone calls can only be made Monday to Friday 9am-5pm, excluding public holidays.

We will share this information with our staff/suppliers to help us support you and our customer and in the event the account is transferred to a new owner, the information will be shared with the new owner of the account, this is to ensure you only need to tell us once.

You can ask us to remove this information at any time. If you want to know more about how we use the information you give us, then please see our Privacy Notice.

Your details

First name

Last name

Your phone number

When is the best time to call you?

Morning

Afternoon

Your email address

Our customer's details

First name

Last name

Date of birth (day month and year)

Day

Year

House number

Your postcode

Last 4 digits of your loan or store card number

How can we help?

Tell us as much as you can about your current circumstances

Please tell us how you want us to help

Are you planning on getting legal permission to manage the customer’s finances?

Yes

I don't know right now

Thank you for updating us.

We will now review your details and reach out by your chosen method to discuss how we can help and support you more.