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Dacorum Card
Apply for a Dacorum Card
Apply for a Dacorum Card
To be able to access all of our features, you need a browser that supports JavaScript, and it needs to be enabled.
Do you receive Housing Benefit or Council Tax Support
Required
Yes
No
Title:
Required
- select -
Mr
Mrs
Miss
Ms
Dr
Mx
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
0
1
2
3
4
5
6
7
8
9
10
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.
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