Housing Benefit Appeal Form Page 4

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Why you disagree with the decision.
• Use this space to say why you do not agree with the decision.
• You must say why you think the decision is wrong.
• If you want to appeal to an Independent Tribunal from the outset tick this box
.
• If you need more space, use another sheet of paper. Remember to put your
name and address on any extra sheets of paper.
• Make sure you have filled in all parts of this form and signed it.
Take or send this form to The Benefit Section, Civic Centre, Swansea. SA1 3SN.
4

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