Application For Housing Benefit, Local Housing Allowance And Council Tax Reduction - Carmarthenshire County Council Page 16
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32Part 7
About Benefits and Pensions
Do you or your partner claim
No
Go to part 8
any benefits, pensions or
Yes
Tell us about them
Universal Credit?
We need to see proof of any benefits or pensions you have. The proof should be an original, not a
photocopy. State gross entitlement even if you are repaying a loan.
Please tell us how your benefits are paid. This can be by order book, by giro, or directly into your account.
You
Your partner
Do you receive Universal
No
Yes
No
Yes
Credit?
£
every
£
every
(mobility component)
How is it paid?
How is it paid?
Do you receive Child Benefit?
No
Yes
No
Yes
£
every
£
every
How is it paid?
How is it paid?
Do you receive Child Tax
No
Yes
No
Yes
Credits?
£
every
£
every
We need to see your award letter
How is it paid?
How is it paid?
Do you receive Attendance
No
Yes
No
Yes
Allowance
£
every
£
every
How is it paid?
How is it paid?
Do you receive Severe
No
Yes
No
Yes
Disablement Allowance?
£
every
£
every
How is it paid?
How is it paid?
Do you receive Carer’s
No
Yes
No
Yes
Allowance?
£
every
£
every
How is it paid?
How is it paid?
Name and address of person
you claim this for?
Do you receive Personal
No
Yes
No
Yes
Independence Payment (PIP)?
£
every
£
every
How is it paid?
How is it paid?
Do you receive Disability Living
No
Yes
No
Yes
Allowance?
£
every
£
every
How is it paid?
How is it paid?
Do you receive Industrial
No
No
Yes
Yes
Injuries Benefits?
£
every
£
every
How is it paid?
How is it paid?
16
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