Application For Housing Benefit, Local Housing Allowance And Council Tax Reduction - Carmarthenshire County Council Page 2
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32Filling in the form
Fill in this form using black ink. Do not use pencil. If you make a mistake, just cross it out and put
the right answer next to it. Do not use correction fluid or tape.
Answer 'Yes' or 'No' questions by putting a tick in the relevant box. Do not put a cross in any boxes.
If you answer a question with a cross we will have to send the form back, and this will delay the
claim.
If someone else fills in the form for you, there is a special space for them to sign.
If you need help filling in the form, our phone number is 01554 742100.
Or you can call into one of our 3 Customer Service Centres, please see page 32 for address
details.
Evidence
We need to see original evidence of some of the things you tell us about. We need to see original
documents, not photocopies. There is a checklist on part 15 to help you. If you are not sure if we
need to see original evidence of something, get in touch with us. We will tell you what we need to
see. We cannot pay you benefit until we have seen the original evidence we have asked for. If
you don’t have all the proof we need, send us your form now and then send the proof later. If you
do not do this, it will delay your claim.
How we collect and use information
We will use the information you give in this form, and in any supporting evidence you send us, to
process your application for Housing Benefit and Council Tax Reduction.
We may pass the information to other agencies or organisations such as the Department for Work
and Pensions and HM Revenue & Customs, as allowed by law.
We may check information you have provided, or information about you that someone else has
provided, with other information held by us. We may also get information about you from certain
third parties, or give them information to:
• make sure the information is accurate;
• prevent or detect crime; and protect public funds.
Those third parties include government departments and local authorities.
We will not give information about you to anyone else, or use information about you for other
purposes, unless the law allows us to.
Please complete this form in black ink. You must answer every question in each section
relevant to your circumstances. If you do not, the form will be sent back to you
and this will delay your claim.
Please read these notes and guidance when making a claim
for Local Housing Allowance.
• Your benefit will be calculated using Local Housing Allowance rates. The rates are set each
month for different size properties by The Rent Service and the rate you are entitled to is
based on the number of people who live with you and their ages. Local Housing Allowance is
the maximum amount that you can receive, and this will reduce depending on your income,
savings and circumstances. The Local Housing Allowance rates are available in advance from
• Jobcentre Plus Offices,
• Customer Service Centres in Llanelli, Carmarthen and Ammanford (see back page for full
addresses),
• on our website -
• Or if you are not sure which rate is applicable to you can email us at:
housing.benefits@carmarthenshire.gov.uk
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