Loading, please wait


Please read this declaration carefully. I understand that:
  • If I give information that is incorrect or incomplete, you may take action against me
  • You will use the information I have provided to process my claim for Housing Benefit or Council Tax Benefit, or both. You may check some of the information with other sources within the council, rent offices, and other councils
  • You may use the information I have provided in connection with this and any other claim for social security benefits that I have made or may make. You may give some information to other government organisations, if law allows this
  • The local authority may approach the Home Office to check information I have given on this form and to obtain further information
  • I must let the Benefit Service know about any changes in my circumstances, which may affect my claim

This form starts here

Rate this page