A Claim Form For Housing Benefit And Council Tax Support Page 15
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28Part 12 About rent
Part 12
About where you live
page 15
page 15
continued
Do you pay any service charges separate from your
No
rent, for example, for cleaning or lighting in shared
£
every
Yes
How much?
areas, an alarm system, a warden, general counselling
or support, meals, or lift maintenance?
What for?
No
Are you living away from home at the moment?
Yes
Tell us about it below.
Why are you not living at home?
When did you last live at home?
/
/
When do you expect to go back home?
/
/
What is the address of where you are living at the
moment?
Postcode
No
Have you sublet your home?
Yes
Who lives there now?
We must see evidence of your rent and tenancy before we can decide how much benefit you can get. Read the
checklist at Part 15 to see what you can use as evidence.
Part 13 How you will be paid
• If you are a council tenant, we will pay any Housing Benefit you are awarded into your rent account.
• If you are awarded Council Tax Support, we will pay this into your Council Tax account.
Tenants receiving Local Housing Allowance (LHA). See
Housing Assiciation
Method of payment. All payments
Page 21 for further information. Your benefit will be paid
Tenants and Tenants
should be made directly to a bank
directly to you unless you feel this may cause you difficulty.
exempt from LHA. You can
account. If you need help to open a bank
If you would like benefit to be paid to your landlord, you
have payments made to you
account, please contact MyCouncil or the
will need to complete a Paying benefit to your landlord
or to your landlord.
Citizens Advice Bureau.
form and we will write to you about this..
Would you like Housing Benefit to be paid to you?
No
We will write to you about this.
Yes
Please tell us the details of the bank or building society account
you would like your benefit paid into. If you do not have an
account, a crossed cheque will be sent to you in the post, until you
open an account.
Name of bank or building society
Address of the branch where your account is held
Postcode
The name in which the account is held
Account number
Sort code
Roll number (Building society accounts only)
Would you like Housing Benefit to be paid to your
No
Please complete the section above.
landlord?
Yes
Please complete a paying benefit to your landlord form at the
back of this application form. You will need to get your landlord to
fill in this form too.
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