A Claim Form For Housing Benefit And Council Tax Support Page 8

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Part 6
About working for an employer
page 8
continued
You
Your partner
When did you start this job?
/
/
/
/
What is your payroll,
employee or staff number?
Are you employed for a
No
No
limited period?
Yes
When will you finish?
Yes
When will you finish?
/
/
/
/
How often do you get paid?
How much do you get paid?
• Gross Pay
(before tax and National
£
£
Insurance are deducted)
• Tax
£
£
• National Insurance
£
£
• Pension Contribution
£
£
How are you paid, for
example, in cash, by cheque
or straight into a bank or
building society account?
When was your last pay
/
/
/
/
rise?
When will your next pay
/
/
/
/
rise be?
How many hours a week do
you usually work?
SSP
AP
SSP
AP
Are you getting Statutory
Sick Pay (SSP), Statutory
No
No
No
No
Paternity Pay (SPP),
Yes
Yes
Yes
Yes
Adoption Pay(AP) or
Statutory Maternity Pay
SPP
SMP
SPP
SMP
(SMP) from your employer
No
No
No
No
at the moment?
Yes
Yes
Yes
Yes
Are you getting any other
sick pay or maternity pay
No
No
from your employer at the
Yes
Yes
moment?
Do you pay into a private or
No
No
company pension scheme?
Yes
How much and how often?
Yes
How much and how often?
£
every
£
every
We must see evidence of any earnings before we can decide how much benefit you can get.
Read the checklist at Part 15 to see what you can use as evidence. If you get tips or bonuses, tell
us about these in Part 14.
Remember to tell us about Working Tax Credit in Part 8.
Part 7
About any other work
Do you or your partner do any other work at all?
No
Go to Part 8.
This could be voluntary work or any other work, even if it is
Yes
Answer the questions on this page.
not paid work.
What other work do you do?

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