Housing And Council Tax Benefit Application - South Norfolk Council (Page 5 of 8) in pdf

Housing And Council Tax Benefit Application - South Norfolk Council Page 5

Name & address of Landlord & Landlord’s agent – please include telephone number and email if

you have it

If you are a private tenant and are under 35 years old, your housing benefit will only be based upon

the shared room rate of Local Housing Allowance. See page 7 for exemptions to this rule.

If you are a private tenant you will not be able to have payments made direct to your landlord.

However, if you feel you are unable to manage your rent payments, please contact us to explain why.

If you rent from a housing association – would you like your benefit paid direct to them?

Y / N

Do you occupy the property as a condition of you or your partner’s employment?

Y / N

I would like my benefit paid into this account (This cannot be a Post Office Card account)

Name on the

Name of the

Sort code

Account number

account

bank/building society

(all six numbers)

(usually seven to ten digits)

Sharing Information:

I give South Norfolk Council permission to share information about my claim with my Landlord/Agent

Name of Landlord/Landlords agent

Telephone number and email address

Y / N

I give South Norfolk council permission to share information about my claim with a third party as

specified below

Telephone number

Name/Details of third party

Relationship to claimant

and email address

Housing And Council Tax Benefit Application - South Norfolk Council Page 5