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Hartlepool Technology for Enabled Care - Cancellation Form
Name
*
First Line of Address and postcode
*
Contact number
*
Email address
What date would you like to have the service cancelled from?
*
Why would you like to cancel the Hartlepool Technology for Care service?
*
Moving into care home
Deceased
Price
Other
Moving Home
Forwarding address and postcode
*
All information is sent directly to the Adult Social Care team at Hartlepool Borough Council and will be treated in strictest confidence.
Submit form