Housing Benefit Clam Form And Council Tax Reduction Page 4

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Page 4
Part 1 About you and your partner – continued
You
Your partner
Have you ever lived in a
No
homeless hostel?
Please say below how often and for how long you
Yes
stayed in the hostel(s)
Have you ever been in local
No
authority care at any time
after the age of 16?
Yes
Does anyone get Carer’s
No
No
Allowance for looking after
you or your partner?
Yes
Yes
Have you or your partner ever
claimed Carer’s Allowance?
Still tick ‘Yes’ if you were not
No
No
paid any Carer’s Allowance. This
could have been because you
Yes
Yes
were better off getting another
social security benefit.
Do you or your partner have
No
No
a vehicle from a Mobility
Yes
Yes
scheme?
Do you or your partner pay
No
No
towards the upkeep of a
student?
Tell us about this
Tell us about this
Yes
Yes
below
below
£
£
How much do you pay?
Every
Every
How often?
Please tick if you or your
partner are:
- an apprentice
- on youth training
- in legal custody
- severely mentally impaired
- registered blind
- long-term sick or disabled
We will contact you if we need any more information about
this

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