Housing Benefit Clam Form And Council Tax Reduction Page 25

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Page 25
Part 12 About any other work
Do you or your partner do any
No
Go to Part 13 on page 26
other work at all?
This includes voluntary work
Yes
Answer the questions on this page.
You
Your partner
What other work do you do?
What is the name and
address of the person you do
this work for?
Postcode
Postcode
Your employer’s phone number
/
/
/
/
How often are you paid?
How many hours a week do
you usually work?
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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