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If someone with an obvious disability, who has a carer/support worker with him/her comes to your cash register and hands you the cash, don't give the change and receipt to the carer. This happens to me all the time. The person I'm supporting pulls his wallet out and hands over the money at the supermarket and without fail the cashier tries to give me the change.
So yeah, don't assume the carer is in charge. I support people to live their own lives, and if it's their money, give the change back to them like you would with anybody else.
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