DOCSLIB.ORG

A Claim Form for Housing Benefit (Including Local Housing Allowance)

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
A Claim Form for Housing Benefit (Including Local Housing Allowance) Cannock Chase Stafford A claim form for Housing Benefit District Council Borough Council Civic Centre Civic Centre (including Local Housing Allowance) PO Box 28 Riverside Beecroft Road Stafford and Local Council Tax Support Cannock ST16 3AQ Staffordshire WS11 1BG Working Together Housing Benefit direct number: 01543 464292 or 01785 619478 Name, address and postcode Date issued Date received Claim reference number Property reference number Office use only Please quote this number if you write to or phone us. Please fill this form in black pen only. Please answer every question. Are you: an owner-occupier? a council tenant? a housing association tenant? a private tenant Please tick the appropriate box. Notes to help you fill this form are attached to the back. Please read them. Part 1 About you and your partner Do you have a partner who normally lives with you? A partner is a person you are married to or have a civil partnership No with, or a person you live with as if you were their husband, wife or civil partner. (A civil partnership is a formal arrangement that gives Yes If you have a partner, you must answer all the same-sex partners the same legal status as a married couple.) questions about them, as well as yourself. You Your partner Surname or family name Other names Any names you have used in the past Title (Mr, Mrs, Ms, and so on) Address, including the room number if you have one Do not tell us your partner’s address if it is the same as yours. What date did you move to this / __ __ / / __ __ / address? Your daytime phone number Giving us your phone number will reduce delays in processing your claim E-mail address Date of birth / __ __ / / __ __ / Letters Numbers Letter Letters Numbers Letter National Insurance number You can find this on payslips or letters from the Department for Work and Pensions or HM Revenue & Customs. If you do not have National Insurance If you do not have National Insurance We cannot normally decide your claim if number, or cannot find it, tick this box. number, or cannot find it, tick this box. we do not have your National Insurance number. We need to see proof of this. How did you find out about how to claim benefit Part 1 About you and your partner Page 2 You Your partner Have you or your partner claimed No No Housing Benefit (including Local Housing Allowance) or Local Yes Yes Council Tax Support? Please tell us about it below Please tell us about it below When did you last claim? / __ __ / / __ __ / Which council did you claim from? What name did you use for the claim? What address did you claim for? If you have moved from this No No address, have you told the council you claimed from? Yes Yes If you or your partner have moved home in the last 12 months, tell us your last address (if it is different from above). Tell us whether you were the homeowner, a private tenant, a council tenant or a lodger at this address. We need to see proof of your identity and National Insurance number. See the checklist at part 14. Have you or your partner come to No No live in England, Northern Ireland, Scotland, Wales, the Republic of Ireland, the Channel Islands or the Yes We will write to you about this. Yes We will write to you about this. Isle of Man in the last two years? What is your nationality? If your nationality is not British, / __ __ / / __ __ / on what date did you last enter and apply to stay in the UK? The UK is England, Northern Ireland, Scotland and Wales. Are you or your partner in No No hospital at the moment? Yes Please tell us about it below. Yes Please tell us about it below. When did you go in? / __ __ / / __ __ / When will you come out, if you / __ __ / / __ __ / know this? Do you or your partner get No No Disability Living Allowance or Personal Independent Payment (PIP)? Yes How much? Yes How much? Care £ Care £ Mobility £ Mobility £ Daily Living Daily Living £ £ Rate Rate Part 1 About you and your partner continued Page 3 You Your partner Do you or your partner get No No Attendance Allowance? Yes We will write to you about this.Yes We will write to you about this. Does anyone get Carer’s No No Allowance for looking after you or your partner? Yes We will write to you about this.Yes We will write to you about this. Have you or your partner been No No told that you are entitled to Carer’s Allowance, even if you Yes We will write to you about this.Yes We will write to you about this. do not receive it because you are getting another benefit instead? Do you or your partner pay No No towards supporting a student? Yes How much do you pay and Yes How much do you pay and how often? how often? £ every £ every Are you or your partner a student? No No By student we mean anyone Tell us if this is full-time or part-time. who is on a course of study at Yes Yes Tell us if this is full-time or part-time. an educational establishment, including student nurses. Full-time Part-time Full-time Part-time How much of your income is taken into £ a year £ a year account when working out your grant? Please tick if you, or your partner: • are an apprentice • are on youth training • are in legal custody • have a severe learning disability, mental illness or form of dementia • are registered blind • are long-term sick or disabled Do you or your partner have a vehicle No No from the Mobility Scheme? Yes Yes We will contact you if we need any more information. Part 2 About children Page 4 We need to know about any children in your household who are: • under 16; • aged 16 or 17 and registered for work or youth training; or • aged 16, 17, 18 or 19 and in education doing a course not higher than GCE A-level, SCE Higher level or GNVQ (advanced). Are there any children in your household as described above? No Go to part 3. If there are more than three children, use a separate sheet Yes of paper to tell us all the information we ask for on this page and send it with the form. If you are sending a separate sheet of paper, tick this box. First child Second child Third child Last name Forename Date of birth / __ __ / / __ __ / / __ __ / What is the child’s sex? The child’s relationship to your partner Usual address, if different from yours Child Benefit number Who gets the Child Benefit for them? We need to see proof of this. Do you receive No No No maintenance for any of these children? Yes Yes Yes If so, how much? £ £ £ How often? £ £ £ Is the child registered No No No blind? Yes We need to see Yes We need to see Yes We need to see proof of this. proof of this. proof of this. Does the child get No No No Disability Living Allowance or Personal Yes How much? Yes How much? Yes How much? Independent Payment (PIP)? Care £ £ £ Mobility £ £ £ Daily Living Rate £ £ £ Do you or your partner pay any childcare No No No costs for this child to a Please tell us about it Please tell us about it Please tell us about it registered childminder, Yes Yes Yes below. below. below. a nursery or an after-school club? Tell us the name and registration number of the childcare provider. How much do you pay £ a week £ a week £ a week each week? We need to see proof of this. We need to see proof of this. We need to see proof of this. Part 3 About other people who live with you Page 5 Now tell us about all the people who usually live with you and your partner. Do not tell us about people who just share a hall, bathroom or toilet with you. Do any adults usually live with you and your partner? Yes No (People over 16 who nobody gets child benefit for) If you are sending a separate sheet of paper, tick this box. First person Second person Third person Last name Forename Date of birth / __ __ / / __ __ / / __ __ / Their relationship to you or your partner Some examples are aunt , brother, daughter, father, grandson, grandmother, stepdaughter, joint tenant, owner, subtenant, lodger, boarder or friend. Do they get Income No No No Support, income-based Yes Yes Yes Jobseeker’s Allowance or the guaranteed part of Pension Credit? Do they get Disability No No No Living Allowance or Attendance Allowance Yes How much? Yes How much? Yes How much? or Personal Independent Payment (PIP)? £ a week £ a week £ a week Are they registered No No No blind? Yes Yes Yes Are they a full-time No No No student, a student nurse, a care worker, Yes Tell us which. Tell us which.Yes Tell us which. an apprentice or on Yes youth training? Do they pay rent or £ a week £ a week £ a week money for board and lodgings to you or your partner? Does this include No No No money for meals? Yes Which ones? Yes Which ones?Yes Which ones? Breakfast Lunch Breakfast Lunch Breakfast Lunch Evening meal Evening meal Evening meal Does this include No No No money for heating? Yes Yes Yes Do they have a severe No No No learning disability? Yes Yes Yes Are they in legal No No No custody at the When are they When are they When are they moment? Yes expected to come out? Yes expected to come out? Yes expected to come out? / __ __ / / __ __ / / __ __ / Are they in hospital at No No No the moment? Yes Tell us about it below.
Load more

Recommended publications
  • Introduction Shelter Scotland Welcomes the Opportunity To
    SSC/S5/19/SSH/12 SOCIAL SECURITY COMMITTEE SOCIAL SECURITY SUPPORT FOR HOUSING SUBMISSION FROM SHELTER SCOTLAND Introduction Shelter Scotland welcomes the opportunity to respond to the Social Security Committee‟s call for views on how social security support for housing costs is impacting clients, with particular focus on the impact of welfare reform. Every day we support people struggling with housing costs and affordability was the top reason people came to us for help last year. Shelter Scotland is Scotland‟s national housing and homelessness charity. We are here so that no-one has to face bad housing or homelessness alone. In 2017/18 Shelter Scotland helped over 21,000 people through our housing advice and support services across Scotland – more than ever before. Along with our national helpline and local projects, we operate four community hubs across Scotland which offer clients support and advice in Scotland‟s major cities; Glasgow, Edinburgh, Dundee and Aberdeen. Adequate social security, in addition to the supply of affordable homes, is key in helping people to affordably access and sustain their homes, but welfare reform has pared back support for housing costs to the point where many households cannot sustain their tenancies. Mitigation measures and recent developments around Universal Credit (UC) have been helpful, but they are sticking plasters for systemic problems in a system which urgently needs to be reviewed on a number of fronts. Overall, we believe that social security support for housing costs must be more generous to accurately reflect the cost of housing: The freeze on LHA must be lifted in 2020, and at an absolute minimum, be set at the 30th percentile of local rents.
    [Show full text]
  • Where Does Working Tax Credit Go?
    WHERE DOES WORKING TAX CREDIT GO? New Policy Institute: October 2014 Introduction and findings Working tax credit (WTC) is a benefit paid to workers with a low family income. The aim of this report is to calculate the amount of WTC that can be attributed to different parts of the economy. For instance, how many workers in the retail sector benefit from working tax credit? How much money does this add up to? This research, based on official survey data for 2010/11 and 2011/12, is the first attempt to quantify these amounts. Results are broken down both by industrial sector and organisation type. We found that . The two employment sectors with the largest attribution of WTC were retail (£1.3bn) and human health and social work (£1.2bn). Together they represent 38% of the total attributed WTC spend (£6.5bn per year). The three sectors with the next largest attribution – each around half of that for the top two – were accommodation and food services (hospitality), education and administrative and support activities. Attributed amounts per recipient worker vary little by sector; high attributions therefore reflect large workforce sizes and/or a high proportion of the workforce benefitting. High recipient numbers in retail and health and social work reflect both high employment in those sectors and a high proportion benefitting. The sector with the highest proportion benefitting is accommodation and food services. 80% of WTC is attributable to workers who work in the private sector, 10% to those in the local government and 5% to those employed by a Health Authority or NHS Trust.
    [Show full text]
  • Pension Credit Application Form
    Pension Credit Your application form Applying for Pension Credit The quickest way to apply for Pension Credit is by phone. A friend or family member can call for you. You must be with them when they call. Pension Credit claim line: nidirect.gov.uk • Freephone: 0808 100 6165 • Textphone: 0808 100 2198 Lines are open 9am to 5pm Monday to Friday, except public holidays. If you need help with this form Before you fill in this form, please read the bookletNotes to help you fill in the form that came with this form After you have read the notes and if you still need help to fill in the form you can ask a friend or phone the Northern Ireland Pension Centre on the number above. If this is hard for you to read We can provide this information in a different way such as large print or in other formats. Please get in touch with us for more information on how we can help you. About your application Please make sure you: • Answer all the questions on the form that apply to you and your partner, if you have one, and any child or young person you wish to claim for • Sign and date the form and send it back to us with all the documents we have asked for by at the latest. If we get your form back after this date it may affect the date we can pay you from. If you have received a Housing Benefit HB2 (PC) form, please check it and if correct sign and return it, along with this form to the Northern Ireland Pension Centre.
    [Show full text]
  • Claiming Jobseeker's Allowance and Other Benefits
    Freephone Factsheet 0808 802 0925 For single parents in England and Wales April 2017 Gingerbread Single Parent Helpline Claiming jobseeker’s allowance and other benefits This factsheet gives details of the financial support you can get if you’re a single parent and you aren’t working, or are working fewer than 16 hours a week. It explains how the age of your children affects whether you can claim income support or jobseeker’s allowance, and what other benefits you’re entitled to, such as tax credits and help with housing costs. There is a list of other Gingerbread factsheets that may be helpful at the end of this factsheet. Further advice on all of the topics covered is available from the Gingerbread Single Parent Helpline on 0808 802 0925. Calls are free. The information in this factsheet is correct as of March 2017. Note: If you have recently come to the United Kingdom, have limited right to be here, or are from the European Union, you may not have the right to claim the benefits set out in this factsheet. Get advice before making a claim. See page six for organisations that can help. Universal credit is a new benefit system that will replace many of the current benefits and tax credits. Some families with children who are claiming benefits for the first time in selected jobcentres will now claim universal credit instead of jobseekers allowance and similar benefits. For more information on universal credit and how it may affect your family you can visit the Gingerbread website. Should I claim jobseeker’s If you are disabled or unwell and can’t work you allowance or income support? can claim employment and support allowance.
    [Show full text]
  • 2. Tax Credits and Complaints
    2. Tax credits and complaints Updated April 2016 Tax credits and complaints is one of a series of Child Poverty Action Group in Scotland leaflets giving guidance to advisers and those working with families in Scotland about aspects of the tax credit system of particular concern. Child Poverty Action Group promotes action for the prevention and relief of poverty among children and families with children. Introduction There are two types of tax credit; child tax credit and working tax credit. You claim them together and may get either or both. Tax credits are administered by Her Majesty’s Revenue and Customs (referred to as HMRC in this leaflet). Tax credits are gradually being replaced by universal credit. You can still claim tax credits if universal credit has not been fully introduced in your area and you are not entitled to universal credit. If you are already getting tax credits when universal credit is introduced, you can continue to get them and will be able to renew your claim until you are transferred onto universal credit. The process of transferring most people from tax credits to universal credit is planned to begin in 2018. See Tax credits: moving on to universal credit for more information. Problems often arise with tax credits. Sometimes the way to sort them out is by making a complaint. This is a formal process and has a number of stages which are outlined below. However, it is important to know that a complaint is not always the appropriate, or only, course of action. For some problems, the right procedure would be mandatory reconsideration then appeal or to request a judicial review.
    [Show full text]
  • Relationship Separation and Child Support Study
    Department for Work and Pensions Research Report No 503 Relationship separation and child support study Nick Wikeley, Eleanor Ireland, Caroline Bryson and Ruth Smith A report of research carried out by National Centre for Social Research on behalf of the Department for Work and Pensions © Crown Copyright 2008. Published for the Department for Work and Pensions under licence from the Controller of Her Majesty’s Stationery Office. Application for reproduction should be made in writing to The Copyright Unit, Her Majesty’s Stationery Office, St Clements House, 2-16 Colegate, Norwich NR3 1BQ. First Published 2008. ISBN 978 1 84712 386 2 Views expressed in this report are not necessarily those of the Department for Work and Pensions or any other Government Department. Contents iii Contents Acknowledgements .........................................................................................xxi The Authors ....................................................................................................xxii Abbreviations .................................................................................................xxiii Glossary ..........................................................................................................xxv Summary ...........................................................................................................1 1 Introduction .................................................................................................7 1.1 Background .......................................................................................7
    [Show full text]
  • Voices from the Frontline... Housing Benefit: Shared Accommodation Rate
    Voices from the frontline... Housing Benefit: shared accommodation rate Introduction The Scottish CAB Service forms the country’s largest independent advice network. Citizen advice bureaux (CAB) are the key frontline service that hundreds of thousands of people turn to and they deal with over half a million new issues every year. As welfare changes begin to affect clients, CAS is producing briefings in our series Voices from the Frontline. These provide personal experiences of welfare reforms as they take effect in households across Scotland. Through these briefings, citizens advice bureaux will show the impact of welfare changes on the frontline. Summary From January 2012, Local Housing Allowance claimants aged between 26 and 35 have had their payments based on a room in a shared property rather than a self contained one bedroom property. In practice, this means that claimants of this age who want to live on their own have had their housing support significantly reduced. Case evidence from bureaux shows that this change has had a serious impact on thousands of people in Scotland based purely on their age. These claimants are faced with a difficult choice between trying to find very limited alternative accommodation and trying to make up the shortfall in their rent through other benefits. For many, neither option is tenable. Many may therefore face arrears and possible homelessness. The Shared Accommodation Rate Local Housing Allowance (LHA) was introduced in 2008 to provide Housing Benefit entitlement for tenants renting private sector accommodation in England, Scotland and Wales. The amount of LHA awarded depends on the number of bedrooms deemed to be required by the claimant, and where they live.
    [Show full text]
  • Child Tax Credit and Working Tax Credit Are, Who Can Get Them and How to Make a Claim
    CHILD TAX CREDIT AND WORKING TAX CREDIT WTC1 An introduction An Working Tax Credit Tax Working Child Tax Credit and Credit Tax Child Contents Introduction How do I claim or get more Who can claim? 1 information? What do I need to make a claim for 2004-05? 8 Child Tax Credit Can I claim? 2 Customer Service How much can I claim? 2 Service Standards 9 What if I have a new baby? 3 Putting things right 9 How do you pay Child Tax Credit? 3 Customers with particular needs 9 What if I get Income Support or income-based Jobseeker’s Allowance? 3 Further information Working Tax Credit Other leaflets 10 Can I claim? 4 How much can I claim? 4 Our commitment to you Can I get help with the costs of Inside back cover childcare if I’m working? 6 How do you pay Working Tax Credit? 7 This leaflet explains what Child Tax Credit and Working Tax Credit are, who can get them and how to make a claim. Introduction Child Tax Credit and Working Tax Credit help to support families with children and working people on low incomes. Child Tax Credit supports families with children, and some 16 to 18 year olds. You can claim whether or not you are in work. All families with children, with income of up to £58,000 a year (or up to £66,000 a year if there is a child under one year old), can claim the credit in the same way. Working Tax Credit supports working people (whether employed or self-employed) on low incomes by topping up earnings.
    [Show full text]
  • Kids Aren't Free
    Kids aren’t free The child maintenance arrangements of single parents on benefit in 2012 Caroline Bryson, Amy Skipp, Janet Allbeson, Eloise Poole, Eleanor Ireland & Vicky Marsh Authors Contents Acknowledgements 4 Caroline Bryson is a partner at Bryson Purdon Social Research. Along with Eleanor Ireland, she was a co-author of a Department for Work and Pensions research report ‘Relationship Executive Summary 5 Breakdown and Child Support Study’ (2008) which analysed the experiences and views of separated parents in relation to child maintenance. On the current project, Caroline was involved in the design and reporting of both the quantitative and qualitative elements. 1 Introduction 17 For the duration of the project, Amy Skipp was the Research Officer at Gingerbread, 2 The Policies 23 the national charity for single parents. Gingerbread oversaw all elements of the design, implementation and reporting and led the qualitative element. Amy is now a qualitative 3 Maintenance receipt in 2007 and 2012 33 Research Director in the Children and Young People Team at NatCen Social Research. 4 Maintenance levels and the effect on income 43 Janet Allbeson is the Senior Policy Advisor at Gingerbread, specialising in child maintenance 5 Profile of single parents on benefit 57 issues. She has led the policy input for this research as well as advising on project design and reporting. 6 Using the CSA 67 Eloise Poole and Eleanor Ireland are in the Children and Young People Team at NatCen Social 7 Private arrangements 85 Research, which led the quantitative aspects of the project. Eloise is a mixed methods Senior Researcher and Eleanor is a mixed methods Research Director.
    [Show full text]
  • Older People Welfare to Work Measures Universal Credit Welfare
    Welfare Reform (cont) Older people l Retirement age for women is increasing from 60 to 65 (by 2018), then to 66 (from 2020) and 67 from 2026 (eight years earlier than previously announced). l This ‘pension age’ rise applies to other help that people used to be able to get when they turned 60 – such as Winter Fuel Payments and Pension Credit where they will have to remain on their working age benefit and wait for their pension age benefit longer, resulting in a loss of: n £3,632 a year – single person n £5,395 a year – couple This is the difference between Jobseekers Allowance and Pension Credit. Welfare to work measures l The Work Programme replaces many other schemes like New Deal, with organisations paid by results – after some months of work or training. l There is more compulsory work and training for both jobseekers and sick claimants, such as four weeks work activity, youth contract (subsidised placements for 18 – 24 year olds) and mandatory work activity. l Non-compliance with such schemes means sanctions, where benefit is stopped for up to 26 weeks. The Government will increase this to three years. Only if the claimant is classed benefits and some on Universal Credit. The exempt, the housing element (which as vulnerable or in hardship will process will affect 19 million people. replaces Housing Benefit) will be paid they would get a reduced hardship to the tenant rather than the landlord. It will be simpler due to the single payment. For example, a single 20 calculation incorporating housing costs l The plan is to pay Universal Credit to year old may only get £33.75 a week and it will avoid moving to different one in a couple, which is of concern to based on a 40% reduction of the basic benefits when circumstances change.
    [Show full text]
  • Child Support Handbook
    Child Support Handbook ............................................................. 19th edition Updated by Mark Brough, with Will Hadwen Child Poverty Action Group CPAG promotes action for the prevention and relief of poverty among children and families with children. To achieve this, CPAG aims to raise awareness of the causes, extent, nature and impact of poverty, and strategies for its eradication and prevention; bring about positive policy changes for families with children in poverty; and enable those eligible for income maintenance to have access to their full entitlement. If you are not already supporting us, please consider making a donation, or ask for details of our membership schemes, training courses and publications. Published by Child Poverty Action Group 94 White Lion Street, London N1 9PF Tel: 020 7837 7979 [email protected] www.cpag.org.uk © Child Poverty Action Group 2011 This book is sold subject to the condition that it shall not, by way of trade or otherwise, be lent, resold, hired out or otherwise circulated without the publisher’s prior consent in any form of binding or cover other than that in which it is published and without a similar condition including this condition being imposed on the subsequent purchaser. A CIP record for this book is available from the British Library ISBN: 978 1 906076 51 1 Child Povery Action Group is a charity registered in England and Wales (registration number 294841) and in Scotland (registration number SC039339), and is a company limited by guarantee, registered in England (registration number 1993854). VAT number: 690 808117 Cover design by Devious Designs Content management system by Konnect Soft Typeset by David Lewis XML Associates Ltd Printed in the UK by CPI William Clowes Beccles NR343 7TL Cover photo by Joanne O’Brien/Photofusion ............................................................
    [Show full text]
  • Benefits for Kinship Carers
    Benefits for kinship carers Are you a grandparent raising your grandchild, or a friend or relative bringing up a child who is not your own? If so, you are likely to be entitled to certain benefits. This factsheet includes information on Child Benefit, Child Tax Credit, Universal Credit, Guardian’s Allowance and other sources of financial help. Depending on your circumstances, you may be able to claim other benefits - see our website for details. 1. Child Benefit Child Benefit is paid to people who are bringing up a child aged under 16, or a young person aged under 20 if they are in full-time non-advanced education or on an approved training course. You can claim Child Benefit for each child for whom you are responsible unless you are being paid a fostering allowance for that child. Child Benefit is £20.70 a week for the eldest or only child and £13.70 for each additional child. You don’t pay tax on Child Benefit and it doesn’t affect your entitlement to means-tested benefits like Useful Contacts Pension Credit, Universal Credit or Income Support. Child Benefit Office If you claim Child Benefit for a child aged under 12 and you’re not 0300 200 3100 working or you don’t earn enough to pay National Insurance, you’ll gov.uk/child-benefit qualify for National Insurance credits that can protect your future Tax Credit Helpline entitlement to State Retirement Pension. 0345 300 3900 gov.uk/child-tax-credit You do not have to be the child’s parent to be awarded Child Benefit, but only one person can be awarded Child Benefit for a Guardian’s allowance particular child.
    [Show full text]