Benefits - Change of Household Members

This form has a maximum of 15 pages

Benefits - Change of Household Members

Only complete this form if someone has joined or left your household and you still wish to claim.  This could be a partner, non-dependant, child or baby, boarder or lodger.

You will need to let us see various original documents to support your claim for benefits.  We cannot accept photocopies.

If you do not have all the proof we need, return the form with as much proof as you have.  You must tell us if you are sending more proof at a later date.

If you do not fill the form in properly and answer all questions it could take longer for us to deal with your claim.