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Claim Form for Housing Benefit, Local Housing Allowance, Council Tax

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Claim Form for Housing Benefit, Local Housing Allowance, Council Tax Housing Benefit Claim 24pp English Final:Layout 1 01/11/2016 13:03 Page 1 PPhone:hone: 0 165601656 64339 6436436 Bridgend County Borough Council TTeextxt R relay:elay: 1 818001001 (0 1(01656)656) 64 3643643643 PO Box 107 EEmail:mail: b enefiEtsH@QHb¿riWdVg#enEdU.LgGoJvH.uQkGJRYXN Bridgend WWebsite:ebsite: w wwZ.ZbrZidgEeULnGdJ.gHoQvG.uJk RYXN CF31 1WB Name: Reference number: Address: Date issued: / / Postcode: 'DWHRI¿UVWFRQWDFW Claim &foODrLmP IfRoUrP HIoRUu+sRinXgVL QBJe%nHeQfiHt¿, WL/oRcFaDlO H+oRXuVsLQinJg$ AOORllZoDwQaFHnc&eR, XCQoFLuOn7Dc[il5 THaGxX FRWLeRdQu ction, IUHHVFKRROPHDOVDQG'LVWLQFWLYH6FKRRO8QLIRUP*UDQW free school meals and Distinctive School Uniform Grant 3OHDVHWDNHWKHWLPHWRUHDGWKHVHQRWHVRQWKHIURQW DQGEDFNRIHDFKSDJHEHIRUH\RX¿OOLQWKLVIRUP :KDWDUH+RXVLQJ%HQH¿W/RFDO+RXVLQJ$OORZDQFHDQG&RXQFLO7D[5HGXFWLRQ" +RXVLQJ%HQH¿W is help towards paying towards your rent if you rent your home from a housing association or do not qualify for Local Housing Allowance (we will check this for you). /RFDO+RXVLQJ$OORZDQFHLVDUDWHWKDWZHXVHWRZRUNRXW+RXVLQJ%HQH¿WIRU\RXZKHQ\RXUHQW\RXUKRPH from a private landlord. &RXQFLO7D[5HGXFWLRQ is help towards paying your council tax bill. +RZWR¿OOLQWKLVIRUP 6RZHFDQZRUNRXW\RXUEHQH¿WSURSHUO\ZHQHHGWRNQRZDERXW\RXUFLUFXPVWDQFHV:HQHHGWRNQRZ ZKDW\RXULQFRPHLVDQGDQ\VDYLQJV\RXPD\KDYH,I\RXKDYHDSDUWQHUZHQHHGGHWDLOVRIWKHLULQFRPH DQGVDYLQJVWRR:HDOVRQHHGWRNQRZDERXWRWKHUSHRSOHZKROLYHZLWK\RXDQGLI\RXUHQW\RXUKRPH how much rent you pay. 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No Q Yes Q m ,Iµ<HV¶DUH\RXDMRLQWRZQHU" 1RQ Yes Q ,Iµ<HV¶SOHDVHZULWHLQWKHER[ZKR you jointly own your home with. y Have you or your partner moved into yyour home in the last 12 months? No Q*RWRWKHQH[WSDJH<HVQ Please tell us about this below. / <RX / <R/ XUSDUWQ/H U a When did you move into your current / / / / aaddress? If you have not moved in \HWWHOOXVZKHQ\RXH[SHFWWRPRYHLQ (Normally you will not receive +RXVL QJ% HQH¿W RU /RFD O+RXVLQJ $ OORZDQFHXQWLO\RXPRYHLQ What was your or your partner’s last address? If your partner lived at DGLIIHUHQWSUHYLRXVDGGUHVVSOHDVH give us this address too. PPostcode: Postcode: Yes Did you own the property? No Q Yes Q No Q Yes Q Q Q Q Q Did you rent the property? No Yes No Yes 'LG\RXFOD LP+RXVLQJ%HQH¿W/RFDO+NoRX VLQ J$OORZD Q FH RU&RXQFLO7D[5HGXF W LRQ DW\RXYesUSUH YLRXVDGGUHVV" No Q Yes Q No Q Yes Q 3 Housing Benefit Claim 24pp English Final:Layout 1 01/11/2016 13:03 Page 4 <RXULGHQWLW\ We need
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