Application form for Housing and Council Tax benefit

About the Form

The form gives us the information we need to work out how much benefit you may get. We need to know a lot of information, so the form is quite long.

You may find some of the sections don’t apply to you, so you will not have to fill in all parts of the form. Every section starts with a question that helps you to decide if you need to answer all the other questions in that section.

Make sure that you answer all of the questions that you need to, by ticking or writing in the boxes on the form.

Application Form

You can get a form by telephoning the benefits section on (01432) 260333, by visiting one of the Council offices, or you can download a form at the foot of the page.

Resources

Claim form for Local Housing Allowance, Housing Benefits and Council Tax Benefit

Adobe PDF

281 kb

If you need help to understand a document, or would like it in another format or language, please call 01432 260500 or email info@herefordshire.gov.uk

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