Benefit Review form

Please be aware, you will need to upload evidence throughout this form.
Before you begin, please have documents such as Payslips, Bank Statements, Childcare cost invoices etc. prepared.
About you
1. Customer details layout
  2. Your details
    
    First name*
    
    Surname*
    
    USERPROFILEADDRESS
    
    Address
    
    Find Address
    
    Enter a postcode*
    
    Please enter a postcode and select Find address
    
    Sorry, no address found for this postcode.
    Please check and retry a new postcode, or fill in the address details below
    
    Address
    
    CURRENTADDRESS
    
    Address
    
    Address
    
    Postcode
    
    Enter Address
    
    House or flat number
    
    Building name (optional)
    
    Street
    
    City or Town
    
    Postcode
    
    ADDRESSTEXTFINAL - USE THIS IN TEMPLATES
    
    ADDRESSPOSTCODE
    
    Email
    
    Phone Number*
    Include your area code when providing landline numbers
2. Are you happy to receive notifications to you electronically? These will be sent to the email address provided above.*
  
  Yes
  
  No
3. National Insurance number
4. Benefit reference number*
  This is an 8 digit number

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