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• PickupaDirectDebit

Forms and Leaflets to Download

Forms

Please click on 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.

 

PDF documents are sometimes marked with this icon .

 

If your screen reader software (for example an audio-enabled web browser) is not compatible with Adobe Reader, Adobe provide a free online tool to convert the content of PDF files to text – so they can be understood by most screen reader applications.

 

 New Housing/Council Tax Benefit Claim Form  - New Benefit claim form.

 

    Application form for direct payment of Local Housing Allowance (word document)

 

 Second Adult Rebate ( Council tax) claim form  - Claim form for Alternative Maximum Council Tax Benefit, (sometimes known as Second Adult Rebate). for an explanation of what AMCTB (SAR) is, please the page about Council Tax Benefit.

 

 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.

 

 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.

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 Tenany deposit schemes introduced from 6th April 2007.

 

    Local Housing Allowance leaflet -

 

Tenancy Deposit Scheme for Landlords in English

 

Tenancy Deposit Scheme for Landlords in Polish

 

Tenancy Deposit Scheme for Tenants in English

 

Tenancy Deposit Scheme for Tenants in Polish