A Claim Form For Housing Benefit And Council Tax Support Page 16

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Part 14a
Anything else you need to tell us
page 16
If there is anything else that you need to tell us, please use this space
If you need more space, please continue on a separate sheet of paper and send it with the form.
If you are sending a separate sheet of paper, tick this box.
Part 14b
Changes you must tell us about
YOU MUST READ THIS PART.
You must tell us about changes in your circumstances which might affect your claim. You must write to Slough Borough Council
Benefits Service, P.O. Box 1032, Slough, Berkshire SL1 3YT immediately if anything to do with your household, job, income or
savings change.
Changes which you have to tell us about include:
• If you, your partner or anyone living with you starts work
• If your income, your partners income or the income of anyone living with you goes up or down. Income includes money from
benefits, such as Employment Support Allowance, Working Tax Credits, Child Tax Credits, and others listed in Part 8.
• If the type of benefit you or your partner receive changes.
• If you or your partners capital or savings go up or down.
• If you or your partner buy or sell property or land.
• If any of your children leave school or leave home.
• If anyone moves into or out of your home, including your partner, lodgers or subtenants.
• If you or anyone living with you become a student, goes on a Youth Training Scheme, goes into hospital or a nursing home,
goes into prison, or changes or leaves a job.
• If your rent goes up or down.
• If you move
• If you or your partner are going to be away from home for more than one month.
• If you receive any decision from the Home Office.
This is not a full list. If you are not sure, please ask the Benefits Section of MyCouncil for advice. If you do not tell the Benefits Section
about changes, you may lose money you are entitled to or you may get too much benefit. Do not rely on The Department for Work and
Pension or HM Revenue and Customs or anyone else to tell the Benefits Section about changes. It is an offence not to declare any change
in circumstances that may affect your benefit. If you do not notify Slough Borough Council Benefits Section about all the changes in your
circumstances, the council may take action against you. This may include court action.
Part 14c
Monitoring our services
The Race Relations Amendment Act requires Slough Borough Council to continually look to improve the quality of service it provides to
the Community. To allow us to do this, please complete the information below.
I would describe my ethnic origin as: (please tick appropriate box)
WHITE
BLACK
ASIAN
MIXED
UK
African
Bangledeshi
White/African
Irish
Caribbean
Indian
White/Caribbean
European
Other
Pakistani
White/Asian
...................................
Other
Kashmiri
Other
...................................
........................................................
Chinese
Other
...................................
This information will be used purely to monitor and improve our service to the whole community regardless of race or ethnic
background. This does not affect your claim for benefit.

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