Forms
Please select the relevant form you wish to print
off. You must then complete and sign the form in the normal way and
send it back to:-
The Benefits Unit, Queens Buildings, Potter
Street, Worksop, Notts, S80 2AH
Help with PDF documents
You can download Portable Document Format (PDF) documents using
Adobe Reader –
available free of charge.
New Housing/Council
Tax Benefit Claim Form - New Benefit claim
form.
Application
form for direct payment of Local Housing Allowance (word
document)
CC1 Change of Circumstances form -
Part 1 of a change of circumstances form. Part
1 plus one or more of the following supplementary pages must be
completed, depending on the change.
Change of
Circumstances leaflet This tells you which changes you need to
tell us about and who to contact.
CC2 moving house form
- The supplementary form to notify us of
moving house. Please ensure you fill in a CC1 above as
well.
CC3 change of rent form -
The supplementary form to notify us about
changes to your rent (private tenants only). Please ensure you fill in a CC1 above as well.
CC4 Income change form - The
supplementary form to notify us about changes to your income or
capital.Please ensure you fill in a CC1 above as well.
CC5 household changes form - The
supplementary form to notify us if anyone moves in or out of your
home or to claim single occupier discount on your Council Tax.
Please ensure you fill in a CC1 above as well.
CC6 Death notification form - Notify
us about someone that has died. Please note, you will have to print
off a copy for each department shown at the top of each form.
Please ensure you fill in a CC1 above as well.
Discretionary Housing Payment Application Form - Claim
form for additional help towards housing costs.
Leaflets
Visit the Benefits Leaflets
website. It contains eight leaflets offering general advice
and guidance around Council Tax Benefit and Housing Benefit issues
and is produced in eleven languages.
Landlord & Tenant leaflets
You can download information in a pdf version of the
Governments new Tenant deposit schemes introduced from 6th April
2007.
Last Updated - 03/04/2013