Request claim form for housing benefit

In this section

Title

First name and middle name

Surname

Date of birth

Your address

Postcode

Daytime telephone number. We will use this number to contact you about your claim

Email address - Providing your email address will speed up the processing of your claim.

Preferred method of contact

Email
Post
Telephone
Mobile

What do you intend to claim for?

Housing benefit
Council tax support
Housing benefit & Council tax support

Benefits calculator claim reference number

Benefits calculator estimate £

Consent for storing submitted data

Yes, I give permission to store and process my data

Last reviewed: 09/09/2024