Housing Benefit Clam Form And Council Tax Reduction Page 8

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Page 8
Part 2
About children - continued
Fifth child
Sixth child
Fourth child
Last name
Other names
/
/
/
/
/
/
Date of birth
What is the child’s
sex?
The child’s
relationship to you
The child’s
relationship to your
partner
The child’s usual
address if different
from yours
Child Benefit number
Who gets the Child
Benefit for them?
Important! We need to see evidence of the Child Benefit
Is the child registered
No
No
No
blind?
Yes
Yes
Yes
Important! We need to see evidence that the child is registered blind
Does the child get Disability
No
No
Living Allowance?
Yes
Yes
How much?
How much?
Higher rate: £
Higher rate: £
Care component
Middle rate: £
Middle rate: £
Lower rate: £
Lower rate: £
Mobility component
Mobility:
£
Mobility: £

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