This form is used to fully review your entitlement to Housing Benefit and/or Council Tax Support/Reduction.
There may have been changes to your household, income, capital or general circumstances that we were not aware of that may have an effect on your entitlement.
Please complete this form fully and upload/attach any relevant evidence you are directed to provide.
Section 1
About yourself
Your property address
Your contact information
If you are not an existing Power of Attorney or Appointee or we have not previously seen written authority to act on the person's behalf.
Please obtain written authority and upload evidence within the evidence upload section shown at the end of the form
Section 2
Claimant information
Check and update information about you, and your contact details as well as special circumstances such as fostering,
caring for others, being cared for, disability, blindness, being a student or being absent from home.
Claimant property address
Property address
Claimant contact information
Section 3
Other people who live with you
Partner information
Partner previous address
For any new partner you have included since your new claim, your last review or that has joined the household and
that we were not aware of prior to completion of this form please upload proof of identification such as; passport or
driving license within the evidence upload section shown at the end of the form
Dependant children information
For any new dependant children you have included since your new claim, your last review or that has joined the household and
that we were not aware of prior to completion of this form please upload proof of identification such as passport
or birth certificate and proof of Child Benefit award within the evidence upload section shown at the end of the form
Non-dependants are adults living with you such as grown up children, parents or friends.
Non-dependants information
For any new non-dependants you have included since your new claim, your last review or that has joined the household and
that we were not aware of prior to completion of this form please upload proof of identification such as passport
or driving license within the evidence upload section shown at the end of the form
Boarders, joint tenants or sub-tenants information
Section 4
Your income
Please include all employment income for yourself (and your partner if applicable)
Earned income information
Non-dependant income information
You will be requested to upload proof of income for any/all non-dependants in the household, this can be current
Benefit award notifications, proof of earnings or a statement of nil income within the evidence upload section
shown at the end of the form
Section 5
Capital and savings
You will be requested to upload 2 months recent bank statements for all your and your partners accounts, including
any accounts where wages or other incomes are paid into within the evidence upload section shown at the end of the form
Section 6
Expenses
Are any of the following statements true?
You will be requested to upload proof of your child care costs such as an invoice/bill or letter from your child
care provider within the evidence upload section shown at the end of the form
Section 7
Your home
You will be requested to upload your current rent statement or a letter from your landlord confirming your arrears
within the evidence upload section shown at the end of the form
Landlord details
If there have been changes to your claim (landlord change, amount of rent change etc.) since we last reviewed your
claim please upload your current tenancy agreement or rent proof document within the evidence upload section
shown at the end of the form
Other changes
Please use this section to report any other changes you may think are relevant to your Housing Benefit claim
Section 8
Declaration
This authority may make enquiries about the information needed to support the application and to prevent fraud.
If you receive Housing Benefit or Council Tax Reduction by providing incorrect details or not giving us full details
or providing false information you could be prosecuted. This declaration is legally binding. Please read all the points
carefully and make sure you understand them before submitting this claim checker.
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I declare that the information I have given on this form is correct and complete.
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I understand that I must promptly tell the authority of any further information which may affect the outcome of my application which I become aware of after it has been made.
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I understand that authority may check the information I have given with other sources.
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I understand the authority may use any information I have provided in connection with this and any other claim for Welfare benefits that I have made or may make.
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I understand the authority may share information with other government organisations, if the law allows this.
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I understand that I must tell the authority straight away if I have a change of circumstances which may affect my application.
Data Privacy
This application and all documents related to this application will be treated in line with the General Data Protection
Regulation and Data Protection Act 2018 and may be shared within the authority and with other authorities. Any data
deemed to be 'sensitive personal data' under the Act will only be disclosed to third parties as necessary for
the operation and administration of the scheme and to other organisations where necessary to establish entitlement
or otherwise as required by law. If you have any questions or concerns about the way we process your personal data, please go to
www.redcar-cleveland.gov.uk/site-terms/Pages/privacy.aspx.