Housing Benefit Clam Form And Council Tax Reduction Page 2

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Page 2
Part 1
About you and your partner - continued
You
Your partner
Date of birth
/
/
/
/
National Insurance number
Letter
Letter
Letters
Numbers
Letters
Numbers
You can find this on payslips or
letters from social security or the
tax office.
If you are applying for a
If your partner is applying for
National Insurance number,
a National Insurance
We cannot normally decide your
please tick this box.
number, please tick this box.
claim if we do not have proof of
your National insurance number
If you cannot provide a National
If your partner cannot provide a
and proof of your identity.
Insurance number, please
National Insurance number,
explain why in the box below.
please explain why in the box
below.
Important! We need original proof of your National
Insurance number and your partner’s National Insurance
number.
We also need to see 2 documents confirming your identity
and 2 documents confirming your partner’s identity.
Daytime phone number
E-mail address
Giving your e-mail address, if you
have one, may help resolve any
questions about your claim more
quickly.
If you or your partner have
moved home in the last 12
months, tell us your last
address
Postcode
Postcode
Date you moved out of this
/
/
/
/
address
Say whether you were the
home owner, a private tenant,
a council tenant, or a boarder
at this address?
Are you or your partner in
No
No
hospital at the moment?
Tell us about this
Tell us about this
Yes
Yes
below
below
/
/
/
/
When did you go in?
When will you come out?
/
/
/
/
(if you know this)

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