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go to advice on staying safe online
Practice form filling online - in a safe place without pressure
     
 
MOCK Housing Benefit Claim Form
 
 
Are you (please tick every box that applies to you)
     
a council tenant?
an owner-occupier?
a private tenant?
 
a housing association or social landlord tenant?
 
Part 1
About You and your partner
You
Your partner
Surname or family name
Other names
Any other names you have used
Title
Address, including room number if you have one
Do not tell us your partner's address if it is the same as yours.
Postcode
Postcode
What date did you move to this
address?
/
/
E.G. - 01 / 01 / 2013
/
/
E.G. - 01 / 01 / 2013
   
Your daytime phone number?
Code
Number
Code
Number
 



 

 

 

 
 
 
     
 
     
 
 
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This project is bought to you by:
Sandwell Community Information & Participation Service Ltd with funding from the Lloyds TSB Foundation
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