Housing Benefit Clam Form And Council Tax Reduction Page 37
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Part 19 Declaration
Even if someone else has filled in this form for
Data Protection Information
you, you must sign this declaration. If you
How the Council collects and processes your
have a partner, it would be helpful if they sign
personal information
below to confirm all the details about them are
The Data Controller is the London Borough of
correct. But they do not have to sign.
Newham and we are responsible for the
Please read this declaration before you sign and
collection and processing of your personal
date it.
information. Processing includes the
I understand that if I give information that is
organisation, retrieval, consultation, use and
i
incorrect or incomplete, you may take action
deletion or destruction of information and its
against me. This may include recommending that
disclosure to other agencies. The information you
I be prosecuted.
provide will be processed mainly in connection
with the administration of Housing Benefit,
I understand that you will use the information I
i
Council Tax Reduction or free school meals.
have provided to process my claim for Housing
Benefit, Council Tax Reduction or free school
Your personal information may however, be
meals. You may check some of the information
processed by other Council services in respect of
with other sources as allowed by law.
any of the Council’s activities including (but not
limited to) benefits, to verify data accuracy,
You may use any information I have given in
i
housing, environmental health and care services.
connection with this and any other claim for
There may be a need to share with external
social security benefits that I have made or may
partners and organisations e.g. health and other
make. You may give some information to other
local authorities or information may be used in
organisations, such as government departments
the detection of fraud and crime. A full list of what
or local authorities, if the law allows this.
information we control and process and for what
I know I must let the Council know in writing
i
purposes is set out in the Council’s data
about any change in my circumstances which
protection notifications filed annually with the
might affect my claim.
Information Commissioner.
I authorise Newham Council to make any
i
All information collected will be processed and
enquiries that are necessary to confirm the
held securely under the principles of the Data
information I have given to support my claim.
Protection Act 1998. For further information on
I declare the information I have given on this form
data protection, the Council’s use of information
i
is is correct and complete.
sharing, please contact the Information
Governance Team on 020 8430 3737 or
information.governance@newham.gov.uk.
Signature of person claiming
Date
/
/
Partner’s signature
Date
/
/
If this form has been filled in other than by the person claiming
Please tell us why you are filling in this form.
As far as possible, I have confirmed with the person claiming that the answers I have written on
this form are correct
Name of the person who filled
in this form
Signature of the person
Relationship to the person
claiming
/
/
Date
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