Order Form
Information leaflets and factsheets from Adult Social Care

Please tell us in the box below where you would like us to send your leaflets and we’ll post them to you as soon as we can.

If your order is to re-stock one of our document displays please tick the appropriate box below. Please remember we will be visiting quarterly to maintain the display and we will alert you if the next visit is soon.

If you need any of the information in other formats (such as large print, Braille, audio) or in other languages please contact Social Care Direct on 0345 60 80 191.

You can download any of our leaflets from our website, by visiting this page: http://www.eastsussex.gov.uk/socialcare/informationleaflets/default.htm Delivery details

|Name: | |
|Email: | |
|Contact number | |
|Address: | |
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|Postcode: | |
|Is this order to re-stock one of the NHS/ ESCC document displays? | Yes No |

|Leaflets |Quantity (please tick) |
|IL01 Getting support from Adult Social Care | 1 5 10 25 50 100 200 |
|IL02 The cost of your social-care support | 1 5 10 25 50 100 200 |
|IL03 How to make a comment, complaint or compliment | 1 5 10 25 50 100 200 |
|IL04 Do you look after someone? | 1 5 10 25 50 100 200 |
|Fact sheets |Quantity (please tick) |
|FS1 – Who qualifies for our services? Eligibility Criteria explained | 1 5 10 25 50 100 200 |
|FS2 - Independent Advocacy – Someone to speak up for you | 1 5 10 25 50 100 200 |
|FS3 – Protecting your information | |
| |1 5 10 25 50 100 200 |
|FS4 – The Supporting People programme | |
| |1 5 10 25 50 100 200 |
|FS5 – Safeguarding adults – protecting adults from abuse | |
| |1 5 10 25 50 100 200