Apply for Council Tax Support if you are already receiving Universal Credit

1Using the form

2Declaration

3About you

4About you (continued)

5About your living situation

6About your partner

7About any children who live with you

8About any other adults who live with you

9About any benefits

10About any proof

11Any other information

This form is only to be used by customers who are currently receiving an award of Universal Credit, if this is not the case you will need to complete the Council Tax support form instead.

This form will ask you to provide

your details including National Insurance number
details of any adults or children who normally live with you
details of any benefits
proof to support your application for example, proof of identity, proof of National Insurance number

Please have this information ready as pages time-out after one hour.

Do not use your browser back button – if you need to go to a previous page click on the previous button at the bottom of each page.

Privacy Statement

To provide this service Canterbury City Council will collect and process personal information. We may check some of the information with other sources (e.g. government departments and other councils) to verify your identity and ensure that the information you have provided is accurate.

Your personal information is being processed because it is necessary for compliance with a legal obligation or for the performance of a task carried out in the public interest.

Please refer to our Corporate Privacy Notice for further details on how we process your personal information and your rights. This is also available in other formats (e.g. print).

Declaration

Are you filling in this form for you or on behalf of someone else?(Required)

I am filling in this form for me

I am filling in this form on behalf of someone else

I confirm the details I will give are correct and true.
I understand that if I give information that is false this could lead to a penalty or legal proceedings being taken against me.
I agree that you will use the information I have provided to process my claim for Housing Benefit or Council Tax Support, or both. You may check some of the information with other sources as allowed by the law.
I understand that you may use any information I have provided in connection with this and any other claim for social security benefits that I have made or may make. You may give some information to other organisations, such as government departments, local authorities and private-sector companies such as banks and organisations that may lend me money, where the law allows this.
I know that I must tell you straight away in writing about any change in my circumstances which might affect my claim.

As far as possible, I will confirm with the person claiming that the answers I will give on this form are correct and that the documents I will upload as proof are original copies and have not been edited in any way.
I understand that if I give information that is false this could lead to a penalty or legal proceedings being taken against me.
I understand my data may be shared with other departments as permitted by law.

Declaration(Required)

I understand and accept the above declaration

We will not be able to discuss the claim with the person who is completing the form on the claimant’s behalf unless they provide written permission to do so, unless you are already an appointee, have lasting power of attorney or are a court appointed deputy.

I am filling in this form on behalf of(Required)

As they cannot fill in the form because(Required)

Is the claimant aware that you are completing this form on their behalf?

Yes

Full name of the person completing this form(Required)

Relationship to the person claiming(Required)

Contact email address or phone number(Required)

We might need to contact you to check the information you’ve given us

This field is hidden when viewing the form

About Universal Credit

This field is hidden when viewing the form

Are you currently receiving Universal Credit?(Required)

Yes, I am currently receiving Universal Credit

No, I am not receiving Universal Credit

This field is hidden when viewing the form

Not receiving Universal Credit

You need to apply for Council Tax Support. Make a claim for Council Tax Support

About you (the claimant)

Benefit account reference

Title (for example Mr, Mrs, Ms, Miss)(Required)

First name(Required)

Last name(Required)

Contact phone number(Required)

Please provide a mobile number if you have one as we are now using text messaging (SMS) to contact some of our residents.

Email address(Required)

We will use your email address to send the receipt of your form, including the form reference number. This may include personal data. We will also use your email address to contact you about your Council Tax account and/or benefits.

Enter email address Confirm email address

Would you like to receive your Council Tax bills by email?(Required)

You can receive your Council Tax bills and benefit notifications by email rather than post. We will send all future Council Tax bills and benefit notifications to the email address you have given above. This service is only available to people who are named on the bill. If you change your email address you must let us know straight away. You can opt out of this at any time at canterbury.gov.uk/paperless.

Yes

Date of birth(Required)

Day

Month

Year

National Insurance number(Required)

Nationality(Required)

About your address

Address(Required)

If you are renting a room include the room number

Address line 1 Address line 2 Town or city Postcode

What date did you move into this address?(Required)

Day

Month

Year

About you (the claimant) continued

Are you a full time student?(Required)

Yes

Have you already provided a copy of your student certificate?(Required)

Yes

Upload a copy of your current student certificate

If you do not have it available at the moment you can provide it later.

Drop files here or

Max. file size: 1 MB.

Are you an apprentice?(Required)

If you or someone living with you is an apprentice, and without them there is only one adult living in your home, you can apply for an apprentice discount.

Yes

Are you severely mentally impaired?(Required)

If everyone living in a property is severely mentally impaired you can apply for an exemption (which means you don’t have to pay Council Tax for the property). If someone living with you is severely mentally impaired and without them there is only one adult living in your home, you can apply for a 25% discount on your Council Tax. You can apply for a severely mentally impaired discount or exemption.

Yes

Are you registered blind?(Required)

Yes

Does anyone get Carer's Allowance or the carer's element of Universal Credit for looking after you?(Required)

Yes

Are you temporarily living away from home?(Required)

Yes

When did you start living away from home?(Required)

Day

Month

Year

Where are you temporarily living and why?(Required)

Such as hospital, on remand, if abroad specify the country you are visiting

When do you expect to return home?(Required)

About your living situation

Do you live on your own?(Required)

Yes

Do you have a partner living with you?(Required)

By partner we mean a person you are married to or a person you live with as if you are married to them or a civil partner or a person you live with as if you are civil partners.

Yes

Do you have any children who normally live with you?(Required)

A child for this question is any child you are or could receive Child Benefit for. So they would be aged under 16, aged 16 or 17 and registered for work or youth training or aged 16 to 19 and in education on a course not higher than GCE A-Level, SCE Higher Level, or GNVQ advanced.

Yes

Do you have any other adults who live with you (other than your partner if you have one)?(Required)

An adult is anyone over the age of 16 that you do not receive Child Benefit for. This includes other family and friends, boarders, subtenants and lodgers. Include any children they have who live in your household. Don’t tell us about people who just share a hall, bathroom and/or toilet.

Yes

About your partner who lives with you

By partner we mean:

a person you are married to or a person you live with as if you are married to them or
a civil partner or a person you live with as if you are civil partners

Please provide the following information about your partner:

Title (for example Mr, Mrs, Ms, Miss) (partner)(Required)

First name (partner)(Required)

Last name (partner)(Required)

Contact phone number (partner)(Required)

Email address (partner)(Required)

Enter email address Confirm email address

Date of birth (partner)(Required)

Day

Month

Year

National Insurance number (partner)(Required)

Nationality (partner)(Required)

Are they a full time student? (partner)(Required)

Yes

Have they already provided a copy of their student certificate? (partner)(Required)

Yes

Upload a copy of their current student certificate (partner)

If you do not have it available at the moment you can provide it later.

Drop files here or

Max. file size: 1 MB.

Are they an apprentice? (partner)(Required)

If you or someone living with you is an apprentice, and without them there is only one adult living in your home, you can apply for an apprentice discount.

Yes

Are they severely mentally impaired? (partner)(Required)

Yes

Are they registered blind? (partner)(Required)

Yes

Does anyone get Carer's Allowance or the carer's element of Universal Credit for looking after your partner?(Required)

Yes

Are they temporarily living away from home? (partner)(Required)

Yes

When did they start living away from home? (partner)(Required)

Day

Month

Year

Where are they temporarily living and why? (partner)(Required)

Such as hospital, on remand, if abroad specify the country they are visiting.

When do you expect them to return home? (partner)(Required)

About the children who live with you

We need to know about any children who normally live with you and/or who you or your partner get, or have applied for, Child Benefit for.

A child is:

aged under 16
aged 16 or 17 and registered for work or youth training, or
aged 16 to 19 and in education on a course not higher than GCE A-Level, SCE Higher Level, or GNVQ advanced

About the first child

Full name (child 1)(Required)

Date of birth (child 1)(Required)

Day

Month

Year

Gender (child 1)

Do you or your partner receive Child Benefit for this child? (1)(Required)

Yes

How much Child Benefit do you receive for this child? (1)(Required)

Have you applied for Child Benefit for this child? (1)(Required)

Yes

Who receives child benefit for this child? (1)(Required)

Name of the person receiving the child benefit (1)

Relationship to this child (1)

Number of hours this child spends with them each week (1)

Is this child registered blind? (1)(Required)

Yes

Has this child been formally placed with you for fostering? (1)(Required)

Yes

Does this child receive any benefits for disability such as Personal Independence Payment or Disability Living Allowance? (1)(Required)

Yes

What benefit(s) does this child receive? (1)(Required)

What is their National Insurance number? (1)

Is there another child who lives with you? (1)(Required)

Yes

About the second child

Full name (child 2)(Required)

Date of birth (child 2)(Required)

Day

Month

Year

Gender (child 2)(Required)

Do you or your partner receive Child Benefit for this child? (2)(Required)

Yes

How much Child Benefit do you receive for this child? (2)(Required)

Have you applied for Child Benefit for this child? (2)(Required)

Yes

Who receives child benefit for this child? (2)(Required)

Name of the person receiving the child benefit (2)

Relationship to this child (2)

Number of hours this child spends with them each week (2)

Is this child registered blind? (2)(Required)

Yes

Has this child been formally placed with you for fostering? (2)(Required)

Yes

Does this child receive any benefits for disability such as Personal Independence Payment or Disability Living Allowance? (2)(Required)

Yes

What benefit(s) does this child receive? (2)(Required)

What is their National Insurance number? (2)

Is there another child who lives with you? (2)(Required)

Yes

About the third child

Full name (child 3)(Required)

Date of birth (child 3)(Required)

Day

Month

Year

Gender (child 3)(Required)

Do you or your partner receive Child Benefit for this child? (3)(Required)

Yes

How much Child Benefit do you receive for this child? (3)(Required)

Have you applied for Child Benefit for this child? (3)(Required)

Yes

Who receives child benefit for this child? (3)(Required)

Name of the person receiving the child benefit (3)

Relationship to this child (3)

Number of hours this child spends with them each week (3)

Is this child registered blind? (3)(Required)

Yes

Has this child been formally placed with you for fostering? (3)(Required)

Yes

Does this child receive any benefits for disability such as Personal Independence Payment or Disability Living Allowance? (3)(Required)

Yes

What benefit(s) does this child receive? (3)(Required)

What is their National Insurance number? (3)

Is there another child who lives with you? (3)(Required)

Yes

About the fourth child

Full name (child 4)(Required)

Date of birth (child 4)(Required)

Day

Month

Year

Gender (child 4)(Required)

Do you or your partner receive Child Benefit for this child? (4)(Required)

Yes

How much Child Benefit do you receive for this child? (4)(Required)

Have you applied for Child Benefit for this child? (4)(Required)

Yes

Who receives child benefit for this child? (4)(Required)

Name of the person receiving the child benefit (4)

Relationship to this child (4)

Number of hours this child spends (4)with them each week (4)

Is this child registered blind? (4)(Required)

Yes

Has this child been formally placed with you for fostering? (4)(Required)

Yes

Does this child receive any benefits for disability such as Personal Independence Payment or Disability Living Allowance? (4)(Required)

Yes

What benefit(s) does this child receive? (4)(Required)

What is their National Insurance number? (4)

Is there another child who lives with you? (4)(Required)

Yes

About the fifth child

Full name (child 5)(Required)

Date of birth (child 5)(Required)

Day

Month

Year

Gender (child 5)(Required)

Do you or your partner receive Child Benefit for this child? (5)(Required)

Yes

How much Child Benefit do you receive for this child? (5)(Required)

Have you applied for Child Benefit for this child? (5)(Required)

Yes

Who receives child benefit for this child? (5)(Required)

Name of the person receiving the child benefit (5)

Relationship to this child (5)

Number of hours this child spends with them each week (5)

Is this child registered blind? (5)(Required)

Yes

Has this child been formally placed with you for fostering? (5)(Required)

Yes

Does this child receive any benefits for disability such as Personal Independence Payment or Disability Living Allowance? (5)(Required)

Yes

What benefit(s) does this child receive? (5)(Required)

What is their National Insurance number? (5)

Is there another child who lives with you? (5)(Required)

Yes

About the sixth child

Full name (child 6)(Required)

Date of birth (child 6)(Required)

Day

Month

Year

Gender (child 6)(Required)

Do you or your partner receive Child Benefit for this child? (6)(Required)

Yes

How much Child Benefit do you receive for this child? (6)(Required)

Have you applied for Child Benefit for this child? (6)(Required)

Yes

Who receives child benefit for this child? (6)(Required)

Name of the person receiving the child benefit (6)

Relationship to this child (6)

Number of hours this child spends with them each week (6)

Is this child registered blind? (6)(Required)

Yes

Has this child been formally placed with you for fostering? (6)(Required)

Yes

Does this child receive any benefits for disability such as Personal Independence Payment or Disability Living Allowance? (6)(Required)

Yes

What benefit(s) does this child receive? (6)(Required)

What is their National Insurance number? (6)

Is there another child who lives with you? 6(Required)

Yes

About any other children

Please provide the following information for any other children who live with you:

Full name
Date of birth
Gender
Do you or your partner receive Child Benefit for this child? If Yes, how much?
Is this child registered blind?
Has this child been formally placed with you for fostering?
Does this child receive any benefits for disability such as Personal Independence Payment or Disability Living Allowance? If Yes, what benefits and what is their National Insurance number?

Please tell us about any other children(Required)

About the other adults who live with you

Please tell us about any other adults who live with you. An adult is anyone over the age of 16 that you do not receive Child Benefit for. This includes other family and friends, boarders, subtenants and lodgers.

Include any children they have who live in your household.

Tell us about people who are away studying but return for the holidays and after their course.
Tell us about people who are in the armed forces on operations.
Don’t tell us about people who just share a hall, bathroom and/or toilet

About the first other adult

Title (for example Mr, Mrs, Ms, Miss) (adult 1)(Required)

First name (adult 1)(Required)

Last name (adult 1)(Required)

Date of birth (adult 1)(Required)

Day

Month

Year

National Insurance number (adult 1)

Are they a joint owner/tenant? (adult 1)

Yes

What proportion of the rent/council do they pay? (adult 1)(Required)

For example, 25%, half, etc

Do they pay rent or money for board and lodgings to you or your partner? (adult 1)(Required)

Yes

Do they receive any of the following? (adult 1)(Required)

Please select all that apply

Attendance Allowance

Disability Living Allowance – care component

Personal Independence Payment – daily living component

Armed Forces Independence Payment

Income Support

Jobseekers Allowance (income based)

Employment and Support Allowance (income related)

Pension Credit (Guarantee Credit)

Universal Credit calculated without any earned income

Universal Credit calculated with earnings

None of the above

Do they work? (adult 1)(Required)

Yes

How many hours per week do they normally work? (adult 1)(Required)

Do they fall into any of the following categories? (adult 1)(Required)

Please select all that apply

Care worker

Apprentice

Youth trainee

Severely mentally impaired

In legal custody

In hospital

None of the above

Are they a full time student? (adult 1)(Required)

Yes

Have you already provided a copy of their student certificate? (adult 1)(Required)

Yes

Upload a copy of their current student certificate (adult 1)

If you do not have it available at the moment you can provide it later.

Drop files here or

Max. file size: 1 MB.

Is there another adult who lives with you? (1)(Required)

Yes

About the second adult

Title (for example Mr, Mrs, Ms, Miss) (adult 2)(Required)

First name (adult 2)(Required)

Last name (adult 2)(Required)

Date of birth (adult 2)(Required)

Day

Month

Year

National Insurance number (adult 2)

Are they a joint owner/tenant? (adult 2)

Yes

What proportion of the rent/council do they pay? (adult 2)(Required)

For example, 25%, half, etc

Do they pay rent or money for board and lodgings to you or your partner? (adult 2)(Required)

Yes

Do they receive any of the following? (adult 2)(Required)

Please select all that apply

Attendance Allowance

Disability Living Allowance – care component

Personal Independence Payment – daily living component

Armed Forces Independence Payment

Income Support

Jobseekers Allowance (income based)

Employment and Support Allowance (income related)

Pension Credit (Guarantee Credit)

Universal Credit calculated without any earned income

Universal Credit calculated with earnings

None of the above

Do they work? (adult 2)(Required)

Yes

How many hours per week do they normally work? (adult 2)(Required)

Do they fall into any of the following categories? (adult 2)(Required)

Please select all that apply

Care worker

Apprentice

Youth trainee

Severely mentally impaired

In legal custody

In hospital

None of the above

Are they a full time student? (adult 2)(Required)

Yes

Have you already provided a copy of their student certificate? (adult 2)(Required)

Yes

Upload a copy of their current student certificate (adult 2)

If you do not have it available at the moment you can provide it later.

Drop files here or

Max. file size: 1 MB.

Is there another adult who lives with you? (2)(Required)

Yes

About the third adult

Title (for example Mr, Mrs, Ms, Miss) (adult 3)(Required)

First name (adult 3)(Required)

Last name (adult 3)(Required)

Date of birth (adult 3)(Required)

Day

Month

Year

National Insurance number (adult 3)

Are they a joint owner/tenant? (adult 3)

Yes

What proportion of the rent/council do they pay? (adult 3)(Required)

For example, 25%, half, etc

Do they pay rent or money for board and lodgings to you or your partner? (adult 3)(Required)

Yes

Do they receive any of the following? (adult 3)(Required)

Please select all that apply

Attendance Allowance

Disability Living Allowance – care component

Personal Independence Payment – daily living component

Armed Forces Independence Payment

Income Support

Jobseekers Allowance (income based)

Employment and Support Allowance (income related)

Pension Credit (Guarantee Credit)

Universal Credit calculated without any earned income

Universal Credit calculated with earnings

None of the above

Do they work? (adult 3)(Required)

Yes

How many hours per week do they normally work? (adult 3)(Required)

Do they fall into any of the following categories? (adult 3)(Required)

Please select all that apply

Care worker

Apprentice

Youth trainee

Severely mentally impaired

In legal custody

In hospital

None of the above

Are they a full time student? (adult 3)(Required)

Yes

Have you already provided a copy of their student certificate? (adult 3)(Required)

Yes

Upload a copy of their current student certificate (adult 3)

If you do not have it available at the moment you can provide it later.

Drop files here or

Max. file size: 1 MB.

Is there another adult who lives with you? (3)(Required)

Yes

About the fourth adult

Title (for example Mr, Mrs, Ms, Miss) (adult 4)(Required)

First name (adult 4)(Required)

Last name (adult 4)(Required)

Date of birth (adult 4)(Required)

Day

Month

Year

National Insurance number (adult 4)

Are they a joint owner/tenant? (adult 4)

Yes

What proportion of the rent/council do they pay? (adult 4)(Required)

For example, 25%, half, etc

Do they pay rent or money for board and lodgings to you or your partner? (adult 4)(Required)

Yes

Do they receive any of the following? (adult 4)(Required)

Please select all that apply

Attendance Allowance

Disability Living Allowance – care component

Personal Independence Payment – daily living component

Armed Forces Independence Payment

Income Support

Jobseekers Allowance (income based)

Employment and Support Allowance (income related)

Pension Credit (Guarantee Credit)

Universal Credit calculated without any earned income

Universal Credit calculated with earnings

None of the above

Do they work? (adult 4)(Required)

Yes

How many hours per week do they normally work? (adult 4)(Required)

Do they fall into any of the following categories? (adult 4)(Required)

Please select all that apply

Care worker

Apprentice

Youth trainee

Severely mentally impaired

In legal custody

In hospital

None of the above

Are they a full time student? (adult 4)(Required)

Yes

Have you already provided a copy of their student certificate? (adult 4)(Required)

Yes

Upload a copy of their current student certificate (adult 4)

If you do not have it available at the moment you can provide it later.

Drop files here or

Max. file size: 1 MB.

Is there another adult who lives with you? (4)(Required)

Yes

About any other adults who live with you

Please provide the following information for any other adults who live with you:

Full name
Date of birth
National Insurance number
Are they a joint owner/tenant? if Yes what proportion of the rent/council do they pay?
Do they pay rent or money for board and lodgings to you or your partner?
Do they receive any Allowance or Independence payments?
Do they work? If Yes, how many hours?
Are they a: Full time student, care worker, apprentice, youth trainee severely mentally impaired, in legal custody or in hospital?

Please tell us about any other adults(Required)

About any other people who live with you (continued)

Do any of the other people listed live together as a couple?(Required)

Yes

Please tell us the full names of the couples(Required)

Enter the information and then click on the + sign to add another row for each couple.

Full name – is the partner of

Full name

About any other benefits you (or your partner if you have one) receive

As you are on Universal Credit we only need to know about certain benefits.

Do you (or your partner if you have one) receive Attendance Allowance?(Required)

Yes, I receive Attendance Allowance

Yes, my partner receives Attendance Allowance

Yes, we both receive Attendance Allowance

Do you (or your partner if you have one) receive Disability Living Allowance?(Required)

Yes, I receive Disability Living Allowance

Yes, my partner receives Disability Living Allowance

Yes, we both receive Disability Living Allowance

Do you (or your partner if you have one) receive Personal Independence Payment (or Armed Forces Independence Payment)?(Required)

Yes, I receive Personal Independence Payment (or Armed Forces Independence Payment)

Yes, my partner receives Personal Independence Payment (or Armed Forces Independence Payment)

Yes, we both receive Personal Independence Payment (or Armed Forces Independence Payment)

About the proof you need to provide

You need to provide proof to support your application. If you can’t submit all your proof now, you can still submit this form and send your proof to us within one calendar month from the day the form is submitted. We’ll tell you how to do that in the email confirmation.

Proof you need to upload

Proof of identity

Evidence can include birth certificate, marriage certificate, passport, medical card, driving licence, UK residence permit, EU National Identity card, recent gas or electricity bill.

Proof of National Insurance Number

Evidence can include: National Insurance card, Department for Work and Pensions (DWP) letter, wage slip, P45/P60, pension letter, Tax Credit award letter.

Proof of other adults’ income

Evidence can include: Proof of Income Support, Jobseekers Allowance (Income Based), Employment and Support Allowance (Income Related), Pension Credit or Universal Credit.

Will you upload your proof now or within one calendar month?(Required)

I will upload my proof to this form now

I can’t upload my proof to this form now, I’ll send it within one calendar month

Please upload proof of any documents we need to see:(Required)

If you are uploading photographs of documents, please make sure you take a photo of every relevant page, that they are clear and that any words or figures can be easily read. Max 10 uploads, each document should be no bigger than 2MB

Drop files here or

Max. file size: 20 MB, Max. files: 10.

Backdating your claim

Your award can be backdated up to 3 months if your circumstances qualify you for Council Tax Support.

If you were not entitled to Universal Credit for this earlier period we may need to ask for further evidence to allow us to assess any entitlement.

Council Tax Support will normally begin from the Monday following the date you want to claim from if it is within the last three months.

If you leave this date blank we will either treat your claim as being from the date this form was submitted, or we will consider awarding up to three months backdating if you were entitled to Universal Credit during that period.

What date would you like your award to be considered from?

Day

Month

Year

About any other information

If there is any information you want to tell us about that hasn’t been covered previously, or additional information you want to provide to support your claim tell us below.

Other information

If you have no further information to give, leave this box blank