Housing Benefit and Council Tax Benefit claim form

Part 12 About accounts, savings and investments
How much is it worth
Check what proof we need
on page 20 part 7
If you have a mortgage or loan, how much is left to pay
£
£
Have you declared all the accounts,
savings and investments that you and
your partner have
No
Yes
If “No” give details
Part 13 How your benefit is paid
Council Tax Benefit is sent to the council tax account.
Council Tenants’ Housing Benefit is sent to their rent account.
Housing Association Tenants can choose who receives their Housing Benefit by answering the questions below.
Private Tenants renting from private landlords, have their Housing Benefit sent to their bank or savings
account. Landlords can be paid directly but in addition to answering the questions below you need to explain
why you do not want to receive your benefit payments in Part 14. Your request will be considered on its merits.
I want benefit paid to my account
Complete the details below.
I do not have a bank account
I want benefit paid to my landlord’s account
Complete the details below and if you are a private tenant
you must explain why your landlord is to be paid in Part 14.
Name of bank or building society
Address
Postcode
Whose name is the account in
Account number
Sort code
Part 14 Anything else you want to tell us
Use the box below to tell us anything else you think we should know about. Use a separate sheet of paper and
attach it to this form if you need to.
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