OPEN - ESDS

48
To all
/
per No.
per No.
per No.
Refer informant to Prompt Card x
70 In the last 12 months, that is,
Since ........O.......O.OO.. have you reCeived an ~
of the followlng allowances shown
on Card X?
.............. .............O .............. .............. I
.............. .............
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Is
Yes ~
NO to a]]-
1
2
1
1
(a) What allowances have you received
a regular allowance from a friend
or relative outside the household ~
a regular allowance from an
Code
organisation
alI
that maintenance allowance or -
apply separation allowance
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‘MLT/pE
1
r
2
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:
1
2
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QoYo~
1
2
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1’
an allowance from a local
authority for a foster child
-
3
3
‘3
an allowance from any other
source for a foster ~hiid - r
4
4
4
Ask
EEC training a]]owance?
5
r
5
5
Include
Exclude
- Allowance from a member of the
armed forces or merchant navy
- Allowance from spouse not a
member of household or who is
an absent spender (SCC QTI)
6
#
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~w&@pq
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6
‘ 7/
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6
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-
(b) HOWmuch was the last payment?~
t QOVOB ~
.................. ........
. ..............00... ..Oco..m
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.............0...0. O.....
(c) How long did this cover?
- Ask
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(c)
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Enter period
code ~ f’EfWS84 (5@
........................O..O
.............................
(d) Are YOU receiving the a]]owance , I
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at present? I
. 1 I
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Yes ._~
No
1
1
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mw
- See 71
113