A Claim Form For Backdated Housing And Council Tax Reduction (Page 2 of 2) in pdf

A Claim Form For Backdated Housing And Council Tax Reduction Page 2

Tell us why you did not claim Housing or Council Tax Reduction earlier. It will help us to make our decision if you

give as much detail as possible. Please use a separate sheet if you need more space.

Now sign the declaration below and return the form to us with any evidence of your circumstances. We will write

to you if we need more information. When we make our decision we will write to you and tell you what we have

decided and why.

DECLARATION

I declare that to the best of my knowledge the information given is true and complete.

I authorise Oxford City Council Benefits Service to check any information I have given if they need to do so.

Signed:

Date:

Please hand in this form at one of our local offices, or post it to: Oxford City Councils Benefits Service, P.O. Box

10, St Aldate’s Chambers, St Aldate’s Oxford, OX1 1BR.

What evidence should I provide with this form?

If you were ill during the period that you are requesting backdated benefit you must provide a letter from your

GP. It must confirm the dates you were ill and confirmation that the illness may have contributed to you making a

late application.

If you were in hospital please provide written confirmation from either the hospital or your doctor confirming the

dates that you were hospitalised.

If you believe you were wrongly advised by any voluntary agency, Jobcentre Plus, Social Services, the

Pension Service, the council or any other organisation please provide details. If you have any supporting

documentation or can obtain written details from the organisation please send it along with this form.

A Claim Form For Backdated Housing And Council Tax Reduction Page 2