A Claim Form For Housing Benefit Page 5
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40Part 2
About children
page 5
We need to know about any children in your household who are:
• under 16,
• aged 16 or 17 and registered for work or youth training, or
• aged 16, 17, 18 or 19 and in education doing a course not higher than
GCE A-level, SCE Higher level or GNVQ (advanced).
No
Go to Part 3.
If there are more than four children, use a separate sheet of paper to tell us
Yes
all the information we ask for on this page and send it with the form.
If you are sending a separate sheet of paper, tick this box.
First child
Second child
Third 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
Usual address, if different
from yours
Child Benefit number
Who gets the Child Benefit
for them?
We need to see proof of this.
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