Housing Benefit Clam Form And Council Tax Reduction Page 24

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Page 24
Part 11 About working for an employer - continued
You
Your partner
Are you getting Statutory Sick
Pay, Statutory Maternity Pay,
No
No
Statutory Paternity Pay, or
Adoption Pay from your
Yes
Yes
employer at the moment?
Do you pay into a private or
No
No
company pension scheme?
Yes
How much?
Yes
How much?
£
£
How often?
How often?
Every
Every
How often are you paid?
Every
Every
Give details of your latest earnings and your partner’s latest earnings, if you have a partner
You
Date
Gross
Tax
NI
Pension
Net
Other
Payslip 1
Payslip 2
Payslip 3
Payslip 4
Payslip 5
Your partner
Date
Gross
Tax
NI
Pension
Net
Other
Payslip 1
Payslip 2
Payslip 3
Payslip 4
Payslip 5
Important! We must see evidence of any earnings before we can decide how much
benefit you can get. We normally need your last 5 wage slips, if you are paid every
week, your last 2 wage slips if you are paid every month, or your last 4 pay slips if
you are paid fortnightly.

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