Apply for a Dacorum Card

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Do you receive Housing Benefit or Council Tax Support Required

YesNo

Title: Required

First name: Required

Last name: Required

Enter postcode:

Email address: Required

Telephone number:

You can claim a card for your partner/husband/wife and any dependent children. You can also claim a card for your carer if they are full time.

How many extra cards do you require? Required

Please complete the validation below:

I confirm that the information I have provided is accurate, and agree that it can be checked with the relevant agency. I will tell Dacorum Borough Council if my circumstances change.

Apply for a Dacorum Card

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