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Changing an accepted offer
She needs to be sure of her change of mind so that she can contact two universities and ask if they will allow her to change her decisions. She needs a CF and a CI unless she has received any Unconditional offers (in which case she only needs a UF).
She needs to know that her new first choice university will accept her change of decision before she withdraws the other decision.
I think it is best to do this by phone asap. Universities are both flexible and accessible so it is possible if there are spaces left on the course.
Formalising the change with UCAS is the last stage of the process and the universities will advise what she needs to do, if anything.
Hope this is enough help!