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We have tried to make our application process as simple as possible. There are two ways to apply, either via our online application form or by downloading a Care Pack Application Form and posting it to the address below or by email to care.pack@lmcancertrust.co.uk

Please complete all sections of the application form so we can process it as quickly as possible. Failure to complete the form in full might result in us declining the application.

    Recipient Details - Step 1 of 10

    MrMrsMissMsOther

    MaleFemaleOther

     

    Applicant Details - Step 2 of 10

    NoYes

    MrMrsMissMsOther

    MaleFemaleOther

     

    Why are you nominating the recipient to receive a care pack?- Step 3 of 10

    Please give in detail the circumstances that have led you to apply to for a care pack on behalf of the recipient? Please note that Trustees of Lasting Memories Cancer Trust are not wishing to be intrusive, however we do need to have relevant information to allow us to make informed decisions for every unique application.

    Your application will be kept confidential in line with our privacy policy. Please note that we will not be able to fund every application we receive, and we may have to defer or decline your application based on the volume of requests and the circumstances associated with these.

     

    Circumstances - Step 4 of 10

    EmployedUnemployedRetiredSelf-employedLong term sick leavePart- time educationFull- time education

     

    Other - Step 5 of 10


     

    Medical Professional - Step 6 of 10

    As part of our eligibility criteria we require the details of the recipients medical professional. We may use these details to contact them to confirming the recipients medical condition.

    DrNurseMrMrsOther

     

    Document Uploads - Step 7 of 10

    We require documentary evidence to support your application, including photo ID of the recipient and their current address. Please upload the relevant documents below:


     

    Communication Preferences - Step 8 of 10

    PhoneEmailPost

    YesNo

    Medical ProfessionalWord of mouthCharity LiteratureCharity WebsiteSocial MediaOther

     

    Data Privacy Statement - Step 9 of 10

    Privacy Notice – Care Packs

    As part of our commitment to data protection we value your right to privacy. Details shared on your application, including those of the applicant, recipient and medical professional will be held securely and we will never disclose, share, sell or rent any data to a third party, other than to regulated authorities when required to so by law. You can view the full policy here.

    We understand that you may want to change your communication preferences in the future. To do this, after we have processed your application and informed you of the outcome, you can update your preferences by contacting us as at privacy@lmcancertrust.co.uk

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    By ticking you are agreeing to the terms of our privacy policy

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    Terms & Conditions - Step 10 of 10

    I, the applicant, by applying for a Care Pack confirm that I have read, understood and accepted the terms and conditions herein. You may withdraw your application at any time by notifying us at care.pack@lmcancertrust.co.uk

    1. You are applying for a Care Pack as the recipient is facing a cancer diagnosis.
    2. You have not made a request to Lasting Memories Cancer Trust Care Pack service previously within the last 24 months.
    3. As part of the application process, you will be required to submit proof of the recipients identity and address ie. driving licence or passport. By agreeing to these terms you are declaring that you have consent from the recipient to share their identity and address. This data will be used in accordance with our privacy policy and GDPR regulations.
    4. We reserve the right to request additional evidence in order to process your application.
    5. Failure to provide all the information required or submit any additional information requested may result in Lasting Memories Cancer Trust being unable to award a care pack to the recipient.
    6. Lasting Memories Cancer Trust will provide a care pack free of charge and will not accept any liability for any loss, damage, injury, cost or claim arising from items used within the care pack.
    7. The contents of the care pack will be based on available stock at the time of postage.
    8. We complete one postage run per month so there may be a short delay in receiving the care pack based on the date of your application.
    9. You will receive a letter confirming the outcome of your request within 14 days and details of any terms of the service that is being provided. You will be asked to sign and confirm that you agree to the terms of receiving the care pack within 14 days of receipt of the letter.
    10. You may be asked to provide feedback to Lasting Memories Cancer Trust to ensure the Charity can review its procedures and processes. We may also ask for a testimonial to be used in marketing material.
    11. We may contact the medical professional to verify details of the recipients medical condition.
    12. By submitting an application you confirm that the information is a true statement of all the recipients medical circumstances to the best of your knowledge and belief.