Housing Benefit and Council Tax Benefit claim form
Housing Benefit and Council Tax Benefit claim form
Housing Benefit and Council Tax Benefit claim form
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Part 1<br />
About you <strong>and</strong> your partner<br />
You<br />
Check what proof we need on page 20 part 1<br />
Your partner<br />
Have you or your partner<br />
<strong>claim</strong>ed <strong>Housing</strong> <strong>Benefit</strong> or<br />
<strong>Council</strong> <strong>Tax</strong> <strong>Benefit</strong> before<br />
No<br />
Yes<br />
When did you <strong>claim</strong><br />
No<br />
Yes<br />
When did they <strong>claim</strong><br />
/ /<br />
/ /<br />
What council did you <strong>claim</strong> from<br />
What council did they <strong>claim</strong> from<br />
What name did you <strong>claim</strong> in<br />
What name did they <strong>claim</strong> in<br />
What address did you <strong>claim</strong> for<br />
What address did they <strong>claim</strong> for<br />
Postcode<br />
Postcode<br />
If you have moved home in<br />
the last 12 months, tell us<br />
your last address.<br />
Postcode<br />
Postcode<br />
Were you the home owner,<br />
private tenant, council tenant<br />
or boarder at this address<br />
What is your nationality<br />
If your nationality is not<br />
British, what date did you<br />
enter the UK<br />
The UK is Engl<strong>and</strong>, Northern<br />
Irel<strong>and</strong>, Scotl<strong>and</strong> <strong>and</strong> Wales.<br />
/ / / /<br />
Are you or your partner in<br />
hospital at the moment<br />
No<br />
Yes<br />
When did you go in<br />
No<br />
Yes<br />
When did they go in<br />
/ /<br />
/ /<br />
When do you expect to come out<br />
(if you know this)<br />
/ /<br />
When do you expect to come out<br />
(if you know this)<br />
/ /<br />
2
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