Application for Carers Emergency Card

Carers Emergency Card Scheme
Do you look after someone? If you do, whether you are a friend, neighbour or relative, the Carers Emergency Card has been designed with you in mind.

The idea is very simple. You carry the yellow card (credit card size) with you and should you have an accident or be taken ill it will immediately let people know that someone is depending on you.

When the card is found it clearly instructs the finder to ring the emergency telephone number at Redditch Life Line. This telephone is staffed 24 hours a day.

The Lifeline staff will hold the information you have given on your application form. They will immediately know who to contact and what to do in an emergency.

If you wish, the person you care for can also be issued with a card to carry. This will provide you with the added peace of mind that, should they be involved in an emergency, help will be at hand.

In line with General Data Protection Regulations (GDPR) the information given on this form will be treated in the strictest confidence by both Worcestershire Association of Carers and Redditch Lifeline. If you have difficulty filling in the form or are unsure about any of the information then please call Worcestershire Association of Carers on 0300 012 4272
About Yourself
About the person you care for
Details of people who can be contacted in an Emergency
Emergency Contact One
Emergency Contact Two