Practice form filling online - in a safe place without pressure

MOCK Housing Benefit Claim Form

Are you (please tick every box that applies to you)
a council tenant? an owner-occupier?
a private tenant? a housing association or social landlord tenant?

Part 1 - About you and your partner

	You	Your Partner
Surname or family name
Other names
Any other names you have used
Title
Address, including room number if you have one. Do not tell us your partner's address if it is the same as yours.


	Postcode	Postcode
What date did you move to this address?	/ /	/ /
Your daytime phone number?	Code Number	Code Number

Go back to the SCIPS homepage

Practice form filling online - in a safe place without pressure

MOCK Housing Benefit Claim Form

Part 1 - About you and your partner

You

Your Partner