Carer Card Application

To request a Carer Card we require you to provide the following information before we can process your application:

Do you live in Lanarkshire?*

YesNo

Are you a Carer already known to Lanarkshire Carers?*

YesNoDon't Know

If you are a carer and you are not already known to Lanarkshire Carers, we cannot issue you with a Carer Card and your application will not be processed. To check if you are known to us, please contact Lanarkshire Carers Centre: Hamilton on 01698 428090 or Lanarkshire Carers Centre: Airdrie on 01236 755550.

Alternatively, please complete our Online Self-Referral Form indicating Carer Card as a reason for referral and a member of staff will pick up with you in due course.

More information on the services provided by Lanarkshire Carers can be found on our website: www.lanarkshirecarers.org.uk

Name*

First NameLast Name

Address*

Street Address

Address

Town / City

Postcode

E-mail

Confirmation Email

Telephone Number*

Please select the relevant option*

New carer card applicationRenewal of cardReplacement card

Do you have access to a smartphone?*

YesNo

Has your caring role changed since your last carer card was issued?*

YesNo

Please tell us how your caring role has changed:*

Please tell us why you need a replacement card:*

Photograph option*

I want to upload a photograph nowI would like to use my existing photograph (renewal/replacement cards only)I would like to visit the centre for assistance with my photo

Photo option*

I want to upload a photograph nowI would like to visit the centre for assistance with my photo

The photo you supply for your Carer Card should be recent, showing your face clearly and without any filters applied. If the photo is not suitable, we may not be able to progress your application.

The size of your photo must not exceed 2MB. If you experience any issues uploading your photo, please contact us on 01698 428090.

Please upload your photo*

Upload a File

You have chosen to visit one of our offices to progress your carer card application.

You do not need to do anything at the moment. When you visit one of our offices, a member of staff will support you in taking your photo and with submitting the completed form at that time.

You are welcome to visit either Lanarkshire Carers Centre: Hamilton or Lanarkshire Carers Centre: Airdrie, Monday - Friday 9:00 AM to 4:30 PM and our staff will be happy to help. You do not need an appointment for this.

Our addresses are:

Lanarkshire Carers Centre: Hamilton

Ground Floor Left, Princes Gate, 60 Castle Street, Hamilton ML3 6BU

AND

Lanarkshire Carers Centre: Airdrie

92 Hallcraig Street, Airdrie, ML6 6AW

We look forward to seeing you.

All applicants must read and agree to the Carer Card Terms and Conditions before a card can be issued.

Declaration*

I have read and understand the Carer Card Terms and Conditions