Housing Benefit And Council Tax Support Claim Form Page 13

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Part I
Sharing information with your landlord
Sharing information with your landlord or their agent can help us to deal with your claim quickly and reduces
the risk of you falling behind with your rent because your claim is delayed.
We may need to confirm information with your landlord before we can make a decision on your claim, for
example, the start date of your tenancy. In these circumstances we can contact your landlord without your
permission. Under the Data Protection Act 1998 we need your permission to discuss anything else.*
If you give us permission, we would be able to tell your landlord whether:
• You have claimed Housing Benefit
• We have made a decision on your claim
• We have made a payment to you; or
• We need more information to make a decision on your claim, and, if so, what information we need
We will not give your landlord any information about:
• Your personal or household circumstances; or
• Your financial circumstances
You can withdraw your permission at any time. It will not affect your claim if you don’t give us permission to
discuss your claim with your landlord. If you want to give us your permission to discuss your claim with your
landlord, please sign below.
I give my council permission to share information with my landlord, or their agent.
* In certain circumstances, under the Welfare Reform Act 2012, we can share information with your landlord
without your permission. We will only do this where the circumstances of your claim allow this to happen.
Your signature
Date
Part J
Backdating
We normally pay your award from the Monday following the day we receive your claim. It may be possible to
backdate your claim for up to:
• Three months from the date you ask if you are of pensionable age
• Six months from the date you ask us if you are under pensionable age and there is a good reason why you
did not claim earlier
/
/
1.
What is the date you would like your award to start from?
2.
Were your circumstances different for the period
Yes
No
you have requested backdating from?
If you are under pensionable age and would like us to backdate your award please write and explain in Part K
your reasons for not claiming earlier. For us to backdate your award you will have to have good cause for not
claiming earlier. Examples may include if you have been unwell or if you have been in hospital or if family or
personal circumstances affected your ability to claim earlier.
Your reasons for not claiming earlier must apply throughout the period you are asking for backdating and you
will need to provide evidence to support your request if available.
Page 13

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