A Claim Form For Housing Benefit And Council Tax Support (Page 17 of 28) in pdf

Part 15 Checklist

page 17

Please tick to say what evidence you are sending with this form. We must see original documents, not copies.

Please do not send valuable items through the post. If you can, bring them into My Council, Landmark Place, High Street,

Slough. We will take the details we need and give you the documents back straight away. If you cannot get into the office,

phone us for more advice on 01753 475111.

If you do not provide all the evidence we need, we might not be able to pay you any benefit. We need the same

evidence for your partner, if you have one.

If you cannot send the evidence we need at the moment, send the form back to us now and send the evidence later. We can

start to process your claim, but we will not be able to pay you any benefit until we have all the evidence.

• Evidence of identity

Such as a birth certificate, marriage certificate, passport, National Insurance number card, medical card,

driving licence, UK residence permit, EEC identity card or recent gas or electricity bill.

We may need to see several of these documents for each person. Once proof of identity has been

given we will not need to request this again.

• Evidence of your address

Such as a recent gas or electricity bill or a TV licence.

• Evidence of National Insurance number

Such as a National Insurance number card, payslips or letters from social security or the tax office.

• Evidence of capital, savings and investments

Such as all your bank, building society or post office books, full bank statements, or certificates for premium bonds,

National Savings Certificates, ISAs, stocks, shares and unit trusts. We need to see evidence of any interest or dividends

you get on investments and savings. We need to see this evidence for children in your household as well. The evidence

you send must show details for at least the last three months.

• Evidence of earnings

This means your last five payslips if you are paid every week, your last three payslips if you are paid every two weeks,

or your last two payslips if you are paid every month. Alternatively, you may complete the employer’s certificate of earnings

form at the back of this form. If you or your partner are self-employed, we need to see your accounts for the last financial

year or, if you have been trading for less than six months, a summary of your trading records so far.

• Evidence of other income

Such as pension slips from a former employer or a letter from the court showing how much maintenance

you are getting. We need to see evidence of any money people pay you for board and lodgings.

• Evidence of benefits, allowances or pensions

Such as current award notices or letters from social security confirming how much you get. If you do

not have evidence, let us know straight away. Please do not send order books through the post.

• Evidence of private rent and tenancy

Such as a rent book, rent receipts, a tenancy agreement or a letter from your landlord. Alternatively,

you may complete the statement of rent form at the back of this form.

• Evidence of other money paid out

Such as letters about student grants or maintenance, agreements or receipts from registered child carers.

Make sure you read and sign the declaration on page 18.

A Claim Form For Housing Benefit And Council Tax Support Page 17