Online Benefit Form

Completing a benefit claim can be a problem for some people.

That is not only a problem for you but it is also a problem for us.

If we don't get the information we need at the outset, we have to write back or telephone you for the missing information. That means we cannot tell you the outcome as quickly as you would like.

Help us to help you. Use our online benefit form to make your application.

We have used internet technology to make form filling very easy for you. When you use the form for the first time it will take a minute or so for the PC to build the form. Please be patient

• You can fill in the whole form off-line.
• You can save a part-filled form on your computer.
• The form will help and guide you to ensure you only fill in parts that are relevant to your claim.
• The form checks for errors, and highlights anything you have missed.
• If you need them, supplementary forms for your employer and landlord can be printed.
• When completed you can submit the form directly to our server, so we can begin processing your claim immediately.
• The form will create a checklist to remind you of the additional evidence you must provide for us.
• If you need help you can phone us on 01473 825798.