Housing Benefit Appeal Form

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Housing Benefit Appeal Form
If you think your Housing Benefit is wrong -
Complete this form and
take or send it
to:- The Benefit Section, Civic Centre, Swansea. SA1 3SN
About you
Mr/Mrs/Miss/Ms
Title
Your surname
Your other names
Your address
Postcode
Code
Number
Daytime phone number
/
/
Your date of birth
National Insurance (NI) number
Get this from your NI number card, payslips,
tax papers or letters from social security.
If you are the landlord, agent or appointee for the claimant, please give details of
the claimant below.
Mr/Mrs/Miss/Ms
Title
Claimant’s name
Claimant’s address when they
were your tenant.
Postcode
1

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