Application For Housing Benefit, Local Housing Allowance And Council Tax Reduction - Carmarthenshire County Council Page 4
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32Part 1
About you and your partner - continued
What address did you claim for?
What address did they claim for?
Postcode
Postcode
Have you told that council that
No
No
you have moved?
Yes
Yes
If you have moved home in the last 12 months, tell us your last address.
Postcode
Postcode
Were you the home owner,
a private tenant, a council
tenant, a boarder or joint
tenant at this address?
What is your nationality?
Have you or your partner
No
No
been living in the UK for
Yes
Yes
less than 3 months?( this
includes British Nationals
returning after a period of
absence)
On what date did
you last enter the UK?
The UK is England, Northern
Ireland, Scotland and Wales.
How long do you intend
staying in the UK?
Are you or your partner in
No
No
hospital at the moment?
Yes
Yes
When did you go in
When did you go in
When are you due out?
When are you due out?
(if you know this)?
(if you know this)?
Do you or your partner get
No
Yes
No
Yes
Disability Living Allowance
or Personal Independence
Payment (PIP)'?
Do you or your partner
No
No
receive an Armed Forces
Yes
Yes
How much?
How much?
Independence Payment?
£
p/w
£
p/w
4
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