TIER 4 (G)
TIER 4 (G)
TIER 4 (G)
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K10. Have you claimed Housing Benefit?<br />
TIeR 4 (GeneRAl) APPlICATIOn FORM<br />
Yes No<br />
K11. Have you claimed Income-based Jobseekers Allowance?<br />
Yes No<br />
K12. Have you claimed Income Support?<br />
Yes No<br />
K13. Have you claimed Severe Disablement Allowance?<br />
Yes No<br />
K14. Have you claimed Social Fund Payments?<br />
Yes No<br />
K15. Have you claimed State Pension Credit?<br />
Yes No<br />
K16. Have you claimed Working Tax Credit?<br />
Yes No<br />
K17. Have you claimed Income-related Employment and Support Allowance?<br />
Yes No<br />
K18. Is your housing provided by a local authority or housing authority as part of an<br />
agreement between your employer and a housing authority? (ht)<br />
Yes No<br />
Now go to Section L<br />
Tier 4 (G) Application Form (version 10/12) - page 25
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