A Claim Form For Housing Benefit Page 10

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Part 4
About Income Support, income-based Jobseeker’s Allowance, income-related
Employment and Support Allowance and Pension Credit
page 10
Are you or your partner getting or waiting to
No
Go to Part 5.
hear about a claim for Income Support,
Yes
income-based Jobseeker’s Allowance, income-
related Employment and Support Allowance or
Pension Credit?
You
Your partner
Are you or your partner actually getting
No
No
Income Support, income-based Jobseeker’s
Yes
When did you start getting it?
Yes
When did they start getting it?
Allowance, income-related Employment and
Support Allowance or Pension Credit at the
/
/
/
/
moment?
If you have answered yes to both of the
questions above, please go straight to
part 10 - About where you live.
Otherwise answer the question below
and then continue to the next page.
If you or your partner are still waiting to hear
No
No
about a claim for Income Support, income-
Yes
When did you claim?
Yes
When did they claim?
based Jobseeker’s Allowance, income-related
Employment and Support Allowance or Pension
/
/
/
/
Credit, when did you claim?
Which benefit are you getting or
Which benefit are they getting or
waiting to hear about?
waiting to hear about?
Income Support
Income Support
income-based Jobseeker’s Allowance
income-based Jobseeker’s Allowance
income-related Employment and
Income-related Employment and
Support Allowance
Support Allowance
Pension Credit
Pension Credit
If you are in receipt of, or awaiting a decision on, Income Support, income-based Jobseeker’s
Allowance, income-related Employment and Support Allowance or Pension Credit, the relevant
agency will provide us with the information that we need to process your claim.

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