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Bassetlaw District Council
Queen's Buildings,
Potter Street,
Worksop, Notts, S80 2AH
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08:40 - 17:00 (Mon - Fri)

Forms and Leaflets to Download

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 Reduction 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.

 

Council Tax Reduction Application for Hardship Payment - Claim form for additional help towards Council Tax.

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 - 20/03/2014