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Please enter the name, contact and location details of the person who requires a social care assessment of need.
This should be the same information that you have submitted to us previously, either online or during a phone call with a social worker.
Please enter the name, contact and location details of the person who no longer requires an assessment and should be removed from the waiting list.
Please click on the 'Remove my name from the waiting list' button to submit this form.
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