Application for Housing Benefit for Two Homes

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This form will need to be completed and submitted twice; 
once by the claimant and subsequently by your former landlord. 

We can only look at your request to award Housing Benefit on two homes once we have received a form completed by both the claimant and the former landlord.


Claimant Details






Change of Address Details
New Address Details






DD/MM/YYYY

DD/MM/YYYY

Previous Address Details














Declaration


Landlord Declaration









DD/MM/YYYY

DD/MM/YYYY
Declaration

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