Benefits Change of Circumstances

If applicable please provide proof of the change (payslips, landlord's letter, bank statements, proof of new benefits, or other relevant official documents). We can only accept original documents, not photocopies. If you cannot get proof straight away, please complete and submit this form now and send us the required proof within one month.

Your Details
Tick the box(s) below to tell us how your circumstances have changed since you last completed a claim form.
Changes in circumstances *:






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Your form will be received by our Benefits Team who will amend your claim details.