Housing Benefit Clam Form And Council Tax Reduction Page 5
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40Page 5
Part 1 About you and your partner – continued
For how long have you lived
in this country?
By “this country” we mean
England, Northern Ireland,
Scotland, Wales, the Republic of
Ireland, the Channel Islands, the
Isle of Man or a combination of
these countries.
Have you lived in another
No
country at any time in the last
5 years?
Yes
What is your nationality?
Have you been awarded any of
the following?
Please tick and give the date the
award ends, if appropriate.
Refugee status?
i
Indefinite Leave to Enter or
i
Remain?
Awarded until:
/
/
Destitution Domestic Violence
i
Concession?
Awarded until:
/
/
Humanitarian Protection?
i
Awarded until:
/
/
Discretionary Leave to Remain?
i
If you have ticked any of these boxes we need to see evidence of the award. If you are a refugee, we
need to see the letter granting you refugee status. If you have ticked any other box, we need to see:
a passport containing the immigration stamp granting you leave; or
i
a letter from the Home Office granting you leave.
i
Have you claimed asylum?
Go on to Part 2 - About children
No
On what date did you claim asylum?
Yes
/
/
Are you still waiting for a
No
decision about your asylum
claim?
Yes
Are you still waiting to hear
No
the result of your appeal
against an asylum decision?
Yes
Newham Council may approach the Home Office to check
information you have given on this form and to obtain further
relevant information.
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