Submit proof for your benefit or support claim 1Using the form2About your claim3About you4Declaration5About you continued6Out of the area7Inside the area8Proof and other information Use this form to send us proof for: Housing Benefit Council Tax Support Housing Payments Council Tax Support Exceptional Hardship Scheme. Types of documents you need to provide as proof to support your claim Please note that if you have been asked to provide proof of your identity, we can’t accept this electronically and you will need to bring original proof such as a passport or driving licence to one of our council offices for us to check. Photocopies are not acceptable. This form will ask you to provide your details including National Insurance number the type of proof you are uploading documents to support your application. 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 Dover District Council is a Data Controller under GDPR. In submitting this form we will collect and process your personal data. For information about your rights and how the Council uses your data, please view our Corporate and relevant service privacy notice which can be found on our Privacy page. About your benefit claimWhat benefits are you giving proof for?(Required) Council Tax Support Council Tax Support Exceptional Hardship Scheme Housing payments Housing Benefit Housing Benefit or Council Tax Support reference number (if known) The person completing this formAre you filling in this form for yourself or on behalf of someone else?(Required) I am filling in this form for myself I am filling in this form on behalf of someone else DeclarationPlease check the box below to confirm that you have read, understand and agree to the following statements before completing this form: I confirm the details I will give are correct and that the documents I will upload as proof are original copies and have not been edited in any way. I confirm that I will notify you of any relevant changes straight away. 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 – on behalf ofPlease check the box below to confirm that you have read, understand and agree to the following statements before completing this form: 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. This field is hidden when viewing the formSection BreakDeclaration(Required) I understand and accept the above declarationThis field is hidden when viewing the formSection BreakI am filling in this form on behalf of(Required)As they cannot fill in the form because(Required)Full name of the person completing this form(Required)Relationship to the person claiming(Required)Contact email address or phone number(Required)If we need to check any of the details given, we may need to contact you About youTitle (for example Mr, Mrs, Ms, Miss)(Required)First name(Required)Last name(Required)Contact phone numberWe ask for your phone number so we can call you or send you important text messages (if we need to) about your claimEmail 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. 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 by email rather than post. We will send all future Council Tax bills 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 dover.gov.uk/paperless Yes No National Insurance number(Required)Do you live in the Dover District and receive Housing Benefit and/or Council Tax Support from Dover District Council?(Required) Yes No About your addressAddress(Required) Address line 1 Address line 2 Town or city Postcode Out of the Dover District Council areaYou need to contact your local council who pays your Housing Benefit and/or Council Tax Support. You can find contact information for your local council on the Gov.uk website. The details you have given on this form will not be passed on or actioned. Please close this window and contact your local council. Proof documents and other informationType(s) of proof(Required)Select all that apply Income Rent Savings and investments Other Please tell us what other type of proof you are uploading(Required)Upload your documents(Required)Please do not send photos of your bank cards; we can’t use these as proof of your bank accounts. You should not send photos of your bank cards to anyone. 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. Drop files here or Select files Accepted file types: txt, pdf, doc, docx, rtf, jpg, jpeg, tif, tiff, bmp, png, xls, xlsx, Max. file size: 20 MB, Max. files: 10. Please use this box to tell us any other informationIf you have no further information to give us, leave the box blank
