{"id":1177,"date":"2024-12-09T12:14:39","date_gmt":"2024-12-09T12:14:39","guid":{"rendered":"https:\/\/partnershipone.com\/TDC\/?page_id=1177"},"modified":"2025-01-03T11:44:04","modified_gmt":"2025-01-03T11:44:04","slug":"hbcts-change-of-address","status":"publish","type":"page","link":"https:\/\/partnershipone.com\/TDC\/hbcts-change-of-address\/","title":{"rendered":"Tell us about a change of address"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform-theme gform-theme--foundation gform-theme--framework gform-theme--orbital' data-form-theme='orbital' data-form-index='0' id='gform_wrapper_14' style='display:none'><style>#gform_wrapper_14[data-form-index=\"0\"].gform-theme,[data-parent-form=\"14_0\"]{--gf-color-primary: #00557E;--gf-color-primary-rgb: 0, 85, 126;--gf-color-primary-contrast: #fff;--gf-color-primary-contrast-rgb: 255, 255, 255;--gf-color-primary-darker: #00234C;--gf-color-primary-lighter: #3287B0;--gf-color-secondary: #fff;--gf-color-secondary-rgb: 255, 255, 255;--gf-color-secondary-contrast: #000000;--gf-color-secondary-contrast-rgb: 0, 0, 0;--gf-color-secondary-darker: #F5F5F5;--gf-color-secondary-lighter: #FFFFFF;--gf-color-out-ctrl-light: rgba(0, 85, 126, 0.1);--gf-color-out-ctrl-light-rgb: 0, 85, 126;--gf-color-out-ctrl-light-darker: rgba(0, 0, 0, 0.35);--gf-color-out-ctrl-light-lighter: #F5F5F5;--gf-color-out-ctrl-dark: #000000;--gf-color-out-ctrl-dark-rgb: 0, 0, 0;--gf-color-out-ctrl-dark-darker: #000000;--gf-color-out-ctrl-dark-lighter: rgba(0, 0, 0, 0.65);--gf-color-in-ctrl: #fff;--gf-color-in-ctrl-rgb: 255, 255, 255;--gf-color-in-ctrl-contrast: #000000;--gf-color-in-ctrl-contrast-rgb: 0, 0, 0;--gf-color-in-ctrl-darker: #F5F5F5;--gf-color-in-ctrl-lighter: #FFFFFF;--gf-color-in-ctrl-primary: #00557E;--gf-color-in-ctrl-primary-rgb: 0, 85, 126;--gf-color-in-ctrl-primary-contrast: #fff;--gf-color-in-ctrl-primary-contrast-rgb: 255, 255, 255;--gf-color-in-ctrl-primary-darker: #00234C;--gf-color-in-ctrl-primary-lighter: #3287B0;--gf-color-in-ctrl-light: rgba(0, 85, 126, 0.1);--gf-color-in-ctrl-light-rgb: 0, 85, 126;--gf-color-in-ctrl-light-darker: rgba(0, 0, 0, 0.35);--gf-color-in-ctrl-light-lighter: #F5F5F5;--gf-color-in-ctrl-dark: #000000;--gf-color-in-ctrl-dark-rgb: 0, 0, 0;--gf-color-in-ctrl-dark-darker: #000000;--gf-color-in-ctrl-dark-lighter: rgba(0, 0, 0, 0.65);--gf-radius: 3px;--gf-font-size-secondary: 14px;--gf-font-size-tertiary: 13px;--gf-icon-ctrl-number: url(\"data:image\/svg+xml,%3Csvg width='8' height='14' viewBox='0 0 8 14' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M4 0C4.26522 5.96046e-08 4.51957 0.105357 4.70711 0.292893L7.70711 3.29289C8.09763 3.68342 8.09763 4.31658 7.70711 4.70711C7.31658 5.09763 6.68342 5.09763 6.29289 4.70711L4 2.41421L1.70711 4.70711C1.31658 5.09763 0.683417 5.09763 0.292893 4.70711C-0.0976311 4.31658 -0.097631 3.68342 0.292893 3.29289L3.29289 0.292893C3.48043 0.105357 3.73478 0 4 0ZM0.292893 9.29289C0.683417 8.90237 1.31658 8.90237 1.70711 9.29289L4 11.5858L6.29289 9.29289C6.68342 8.90237 7.31658 8.90237 7.70711 9.29289C8.09763 9.68342 8.09763 10.3166 7.70711 10.7071L4.70711 13.7071C4.31658 14.0976 3.68342 14.0976 3.29289 13.7071L0.292893 10.7071C-0.0976311 10.3166 -0.0976311 9.68342 0.292893 9.29289Z' fill='rgba(0, 0, 0, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-select: url(\"data:image\/svg+xml,%3Csvg width='10' height='6' viewBox='0 0 10 6' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M0.292893 0.292893C0.683417 -0.097631 1.31658 -0.097631 1.70711 0.292893L5 3.58579L8.29289 0.292893C8.68342 -0.0976311 9.31658 -0.0976311 9.70711 0.292893C10.0976 0.683417 10.0976 1.31658 9.70711 1.70711L5.70711 5.70711C5.31658 6.09763 4.68342 6.09763 4.29289 5.70711L0.292893 1.70711C-0.0976311 1.31658 -0.0976311 0.683418 0.292893 0.292893Z' fill='rgba(0, 0, 0, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-search: url(\"data:image\/svg+xml,%3Csvg width='640' height='640' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath d='M256 128c-70.692 0-128 57.308-128 128 0 70.691 57.308 128 128 128 70.691 0 128-57.309 128-128 0-70.692-57.309-128-128-128zM64 256c0-106.039 85.961-192 192-192s192 85.961 192 192c0 41.466-13.146 79.863-35.498 111.248l154.125 154.125c12.496 12.496 12.496 32.758 0 45.254s-32.758 12.496-45.254 0L367.248 412.502C335.862 434.854 297.467 448 256 448c-106.039 0-192-85.962-192-192z' fill='rgba(0, 0, 0, 0.65)'\/%3E%3C\/svg%3E\");--gf-label-space-y-secondary: var(--gf-label-space-y-md-secondary);--gf-ctrl-border-color: #000000;--gf-ctrl-size: var(--gf-ctrl-size-md);--gf-ctrl-label-color-primary: ##00557E;--gf-ctrl-label-color-secondary: ##00557E;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #000000;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(0, 85, 126, 0.8);}<\/style><div id='gf_14' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_14'  action='\/TDC\/wp-json\/wp\/v2\/pages\/1177#gf_14' data-formid='14' novalidate><div id='gf_page_steps_14' class='gf_page_steps'><div id='gf_step_14_1' class='gf_step gf_step_active gf_step_first'><span class='gf_step_number'>1<\/span><span class='gf_step_label'>Using the form<\/span><\/div><div id='gf_step_14_2' class='gf_step gf_step_next gf_step_pending'><span class='gf_step_number'>2<\/span><span class='gf_step_label'>Declaration<\/span><\/div><div id='gf_step_14_3' class='gf_step gf_step_pending'><span class='gf_step_number'>3<\/span><span class='gf_step_label'>About you (the claimant)<\/span><\/div><div id='gf_step_14_4' class='gf_step gf_step_pending'><span class='gf_step_number'>4<\/span><span class='gf_step_label'>About the property you are moving out of<\/span><\/div><div id='gf_step_14_5' class='gf_step gf_step_pending'><span class='gf_step_number'>5<\/span><span class='gf_step_label'>About the property you are moving to<\/span><\/div><div id='gf_step_14_6' class='gf_step gf_step_pending'><span class='gf_step_number'>6<\/span><span class='gf_step_label'>Overlapping Housing Benefit<\/span><\/div><div id='gf_step_14_7' class='gf_step gf_step_pending'><span class='gf_step_number'>7<\/span><span class='gf_step_label'>About your move<\/span><\/div><div id='gf_step_14_8' class='gf_step gf_step_pending'><span class='gf_step_number'>8<\/span><span class='gf_step_label'>About the payment<\/span><\/div><div id='gf_step_14_9' class='gf_step gf_step_pending'><span class='gf_step_number'>9<\/span><span class='gf_step_label'>About sharing information<\/span><\/div><div id='gf_step_14_10' class='gf_step gf_step_pending'><span class='gf_step_number'>10<\/span><span class='gf_step_label'>About any proof<\/span><\/div><div id='gf_step_14_11' class='gf_step gf_step_last gf_step_pending'><span class='gf_step_number'>11<\/span><span class='gf_step_label'>About any other information<\/span><\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_14_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_14' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_14_24\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><Strong>Change of address<\/strong><br>\nIt is important to report a change in address as soon as possible to make sure that your Housing Benefit and\/or Council Tax Support award remains correct and to make sure any correspondence is sent to the correct address. If you have moved and are currently in receipt of Housing Benefit and\/or Council Tax Support please continue to complete this form.\n<p><\/p>\n<strong>Tell us about any other change<\/strong><br>\nYou need to tell us straight away about any change that could affect your Council Tax Support or Housing Benefit, please complete a <a href=\"https:\/\/www.thanet.gov.uk\/info-pages\/tell-us-about-a-change\/\" target=\"_blank\">Tell us about a change form<\/a>.\n<p><\/p>\n<strong>Not in receipt of Housing Benefit<\/strong><br>\nIf you have moved and are not currently in receipt of Council Tax Support or Housing Benefit, please complete a <a href=\"https:\/\/www.thanet.gov.uk\/online-services\/moving-home\/\"target=\"_blank\">Council Tax moving home form<\/a>.\n<p><\/p>\n<p><h3>This form will ask you to provide<\/h3><\/p>\n<p><ul style=\"list-style-type:disc\">\n  <li>your details including date of birth and National Insurance number<\/li>\n  <li>the moving in date as well as the previous and new addresses<\/li>\n  <li>details of your living situation<\/li>\n  <li>landlord details, if applicable<\/li>\n  <li>bank or building society details, if applicable<\/li>\n  <li>evidence of your new rent liability if you are not a council tenant<\/li>\n<\/ul><\/p>\n\n<p><\/p>\n<p>Please have this information ready as pages time-out after one hour.<\/p>\n\n<p>Do not use your browser back button &#8211; if you need to go to a previous page click on the previous button at the bottom of each page.<\/p>\n\n<h4>Privacy Statement<\/h4>\n\n<p>To provide this service Thanet District 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.<\/p>\n\n<p>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.<\/p>\n\n<p>Please refer to our&nbsp;<a href=\"https:\/\/www.thanet.gov.uk\/privacy-statement\/\" target=\"_blank\">Corporate Privacy Notice<\/a>&nbsp;for further details on how we process your personal information and your rights. This is also available in other formats (e.g. print).<\/p>\n<\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_14_26' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Begin form'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_14_2' class='gform_page' data-js='page-field-id-26' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_14_2' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_14_53\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Declaration<\/h3><\/div><fieldset id=\"field_14_52\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are you filling in this form for you or on behalf of someone else?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_14_52'>\n\t\t\t<div class='gchoice gchoice_14_52_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='I am filling in this form for me'  id='choice_14_52_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_52_0' id='label_14_52_0' class='gform-field-label gform-field-label--type-inline'>I am filling in this form for me<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_52_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='I am filling in this form on behalf of someone else'  id='choice_14_52_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_52_1' id='label_14_52_1' class='gform-field-label gform-field-label--type-inline'>I am filling in this form on behalf of someone else<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_14_27\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><ul style=\"list-style-type:disc\">\nPlease check the box below to confirm that you have read, understand and agree to the following statements before completing this form:<p><\/p>\n\n  <li>I confirm the details I will give are correct and true.<\/li>\n  <li>I understand that if I give information that is false this could lead to a penalty or legal proceedings being taken against me.\n<\/li>\n  <li>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.<\/li>\n  <li>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.<\/li>\n  <li>I know that I must tell you straight away in writing about any change in my circumstances which might affect my claim.<\/li>\n<\/ul>\n<\/div><div id=\"field_14_55\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_14_54\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><ul style=\"list-style-type:disc\">\nPlease check the box below to confirm that you have read, understand and agree to the following statements before completing this form:<p><\/p>\n\n  <li>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.\n<\/li>\n  <li>I understand that if I give information that is false this could lead to a penalty or legal proceedings being taken against me.\n<\/li>\n  <li>I understand my data may be shared with other departments as permitted by law.\n<\/li>\n<\/ul><\/div><div id=\"field_14_63\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><fieldset id=\"field_14_6\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Declaration<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_6.1' id='input_14_6_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_14_6_1' >I understand and accept the above declaration<\/label><input type='hidden' name='input_6.2' value='I understand and accept the above declaration' class='gform_hidden' \/><input type='hidden' name='input_6.3' value='21' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_14_62\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><div class='gsection_description' id='gfield_description_14_62'>We will not be able to discuss the claim with the person who is completing the form on the claimant\u2019s 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.<\/div><\/div><div id=\"field_14_57\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_57'>I am filling in this form on behalf of<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_14_57' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_14_58\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_58'>As they cannot fill in the form because<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_58' id='input_14_58' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_14_207\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Is the claimant aware that you are completing this form on their behalf?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_14_207'>\n\t\t\t<div class='gchoice gchoice_14_207_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_207' type='radio' value='Yes'  id='choice_14_207_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_207_0' id='label_14_207_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_207_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_207' type='radio' value='No'  id='choice_14_207_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_207_1' id='label_14_207_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_14_60\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_60'>Full name of the person completing this form<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_60' id='input_14_60' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_14_56\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_56'>Relationship to the person claiming<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_56' id='input_14_56' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_14_59\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_59'>Contact email address or phone number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_14_59'>We might need to contact you to check the information you&#8217;ve given us<\/div><div class='ginput_container ginput_container_text'><input name='input_59' id='input_14_59' type='text' value='' class='large'  aria-describedby=\"gfield_description_14_59\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_14_8' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_14_8' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_14_3' class='gform_page' data-js='page-field-id-8' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_14_3' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_14_167\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">About you (the claimant)<\/h3><\/div><fieldset id=\"field_14_720\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What support or benefit are you receiving?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_14_720'>Please select all that apply<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_14_720'><div class='gchoice gchoice_14_720_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_720.1' type='checkbox'  value='Council Tax Support'  id='choice_14_720_1'   aria-describedby=\"gfield_description_14_720\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_14_720_1' id='label_14_720_1' class='gform-field-label gform-field-label--type-inline'>Council Tax Support<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_14_720_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_720.2' type='checkbox'  value='Housing Benefit'  id='choice_14_720_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_720_2' id='label_14_720_2' class='gform-field-label gform-field-label--type-inline'>Housing Benefit<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_14_44\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_44'>Benefit claim reference number<\/label><div class='ginput_container ginput_container_text'><input name='input_44' id='input_14_44' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_14_666\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_666'>Council Tax account number<\/label><div class='ginput_container ginput_container_text'><input name='input_666' id='input_14_666' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_14_665\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_665'>Title (for example Mr, Mrs, Ms, Miss)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_665' id='input_14_665' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_14_45\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_45'>First name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_14_45' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_14_46\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_46'>Last name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_46' id='input_14_46' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_14_51\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_51'>Contact phone number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_14_51'>Please provide a mobile number if you have one as we are now using text messaging (SMS) to contact some of our residents.<\/div><div class='ginput_container ginput_container_text'><input name='input_51' id='input_14_51' type='text' value='' class='large'  aria-describedby=\"gfield_description_14_51\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_14_11\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Email address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_14_11'>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.<\/div><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_14_11_container'>\n                                <span id='input_14_11_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_14_11' class='gform-field-label gform-field-label--type-sub '>Enter email address<\/label>\n                                    <input class='' type='email' name='input_11' id='input_14_11' value=''    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_14_11\" \/>\n                                <\/span>\n                                <span id='input_14_11_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_14_11_2' class='gform-field-label gform-field-label--type-sub '>Confirm email address<\/label>\n                                    <input class='' type='email' name='input_11_2' id='input_14_11_2' value=''    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_14_11\" \/>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><fieldset id=\"field_14_66\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datedropdown gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Date of birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_14_66' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_14_66_2_container'><label for='input_14_66_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Day<\/label><select name='input_66[]' id='input_14_66_2'   aria-required='true'  ><option value=''>Day<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_14_66_1_container'><label for='input_14_66_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Month<\/label><select name='input_66[]' id='input_14_66_1'   aria-required='true'  ><option value=''>Month<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_14_66_3_container'><label for='input_14_66_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Year<\/label><select name='input_66[]' id='input_14_66_3'   aria-required='true'  ><option value=''>Year<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/fieldset><div id=\"field_14_65\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_65'>National Insurance number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_65' id='input_14_65' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_14_718\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">About your previous address<\/h3><\/div><fieldset id=\"field_14_169\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Previous address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_14_169'>If you are renting a room include the room number<\/div>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_state has_zip ginput_container_address gform-grid-row' id='input_14_169' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_14_169_1_container' >\n                                        <label for='input_14_169_1' id='input_14_169_1_label' class='gform-field-label gform-field-label--type-sub '>Address line 1<\/label>\n                                        <input type='text' name='input_169.1' id='input_14_169_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_14_169_2_container' >\n                                        <label for='input_14_169_2' id='input_14_169_2_label' class='gform-field-label gform-field-label--type-sub '>Address line 2<\/label>\n                                        <input type='text' name='input_169.2' id='input_14_169_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_14_169_4_container' >\n                                        <label for='input_14_169_4' id='input_14_169_4_label' class='gform-field-label gform-field-label--type-sub '>Town or city<\/label>\n                                        <input type='text' name='input_169.4' id='input_14_169_4' value=''      aria-required='true'    \/>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_14_169_5_container' >\n                                    <label for='input_14_169_5' id='input_14_169_5_label' class='gform-field-label gform-field-label--type-sub '>Postcode<\/label>\n                                    <input type='text' name='input_169.5' id='input_14_169_5' value=''    aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_169.6' id='input_14_169_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_14_667\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">About your new address<\/h3><\/div><fieldset id=\"field_14_441\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datedropdown gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >What date did you move to your new address?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_14_441' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_14_441_2_container'><label for='input_14_441_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Day<\/label><select name='input_441[]' id='input_14_441_2'   aria-required='true'  ><option value=''>Day<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_14_441_1_container'><label for='input_14_441_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Month<\/label><select name='input_441[]' id='input_14_441_1'   aria-required='true'  ><option value=''>Month<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_14_441_3_container'><label for='input_14_441_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Year<\/label><select name='input_441[]' id='input_14_441_3'   aria-required='true'  ><option value=''>Year<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/fieldset><fieldset id=\"field_14_668\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >New address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_14_668'>If you are renting a room include the room number<\/div>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_state has_zip ginput_container_address gform-grid-row' id='input_14_668' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_14_668_1_container' >\n                                        <label for='input_14_668_1' id='input_14_668_1_label' class='gform-field-label gform-field-label--type-sub '>Address line 1<\/label>\n                                        <input type='text' name='input_668.1' id='input_14_668_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_14_668_2_container' >\n                                        <label for='input_14_668_2' id='input_14_668_2_label' class='gform-field-label gform-field-label--type-sub '>Address line 2<\/label>\n                                        <input type='text' name='input_668.2' id='input_14_668_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_14_668_4_container' >\n                                        <label for='input_14_668_4' id='input_14_668_4_label' class='gform-field-label gform-field-label--type-sub '>Town or city<\/label>\n                                        <input type='text' name='input_668.4' id='input_14_668_4' value=''      aria-required='true'    \/>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_14_668_5_container' >\n                                    <label for='input_14_668_5' id='input_14_668_5_label' class='gform-field-label gform-field-label--type-sub '>Postcode<\/label>\n                                    <input type='text' name='input_668.5' id='input_14_668_5' value=''    aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_668.6' id='input_14_668_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_14_721' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_14_721' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_14_4' class='gform_page' data-js='page-field-id-721' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_14_4' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_14_722\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">About the property you are moving out of<\/h3><\/div><fieldset id=\"field_14_723\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Do you, or did you?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_14_723'>If other please use the other box below to tell us on what basis did you occupy your previous address<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_14_723'>\n\t\t\t<div class='gchoice gchoice_14_723_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_723' type='radio' value='Own the property'  id='choice_14_723_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_14_723\"   \/>\n\t\t\t\t\t<label for='choice_14_723_0' id='label_14_723_0' class='gform-field-label gform-field-label--type-inline'>Own the property<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_723_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_723' type='radio' value='Rent the property'  id='choice_14_723_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_723_1' id='label_14_723_1' class='gform-field-label gform-field-label--type-inline'>Rent the property<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_723_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_723' type='radio' value='gf_other_choice'  id='choice_14_723_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_723_2' id='label_14_723_2' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_14_723_other' class='gchoice_other_control' name='input_723_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_14_724\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datedropdown gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Date the sale of the property completed?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_14_724' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_14_724_2_container'><label for='input_14_724_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Day<\/label><select name='input_724[]' id='input_14_724_2'   aria-required='true'  ><option value=''>Day<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_14_724_1_container'><label for='input_14_724_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Month<\/label><select name='input_724[]' id='input_14_724_1'   aria-required='true'  ><option value=''>Month<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_14_724_3_container'><label for='input_14_724_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Year<\/label><select name='input_724[]' id='input_14_724_3'   aria-required='true'  ><option value=''>Year<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/fieldset><fieldset id=\"field_14_725\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datedropdown gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Date the tenancy ended?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_14_725' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_14_725_2_container'><label for='input_14_725_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Day<\/label><select name='input_725[]' id='input_14_725_2'   aria-required='true'  ><option value=''>Day<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_14_725_1_container'><label for='input_14_725_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Month<\/label><select name='input_725[]' id='input_14_725_1'   aria-required='true'  ><option value=''>Month<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_14_725_3_container'><label for='input_14_725_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Year<\/label><select name='input_725[]' id='input_14_725_3'   aria-required='true'  ><option value=''>Year<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/fieldset><fieldset id=\"field_14_726\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Did you rent this property furnished or unfurnished?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_14_726'>\n\t\t\t<div class='gchoice gchoice_14_726_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_726' type='radio' value='Furnished'  id='choice_14_726_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_726_0' id='label_14_726_0' class='gform-field-label gform-field-label--type-inline'>Furnished<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_726_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_726' type='radio' value='Unfurnished'  id='choice_14_726_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_726_1' id='label_14_726_1' class='gform-field-label gform-field-label--type-inline'>Unfurnished<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_14_727\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">About the landlord or agent &#8211; Council Tax Support<\/h3><\/div><div id=\"field_14_728\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_728'>Landlord or agent&#039;s name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_14_728'>By landlord we mean the person or organisation who owns the property you live in<\/div><div class='ginput_container ginput_container_text'><input name='input_728' id='input_14_728' type='text' value='' class='large'  aria-describedby=\"gfield_description_14_728\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_14_729\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_729'>Landlord or agent&#039;s business address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_729' id='input_14_729' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_14_730\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_730'>Landlord or agent&#039;s business postcode<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_730' id='input_14_730' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_14_731' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_14_731' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_14_5' class='gform_page' data-js='page-field-id-731' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_14_5' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_14_732\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">About the property you are moving to<\/h3><\/div><fieldset id=\"field_14_733\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are the people living at your new address the same as at your previous address?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_14_733'>\n\t\t\t<div class='gchoice gchoice_14_733_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_733' type='radio' value='Yes'  id='choice_14_733_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_733_0' id='label_14_733_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_733_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_733' type='radio' value='No'  id='choice_14_733_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_733_1' id='label_14_733_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_14_734\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_734'>Please tell us what has changed<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_734' id='input_14_734' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_14_736\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >At your new address do you?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_14_736'>If other please use the other box below to tell us on what basis you occupy your address<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_14_736'>\n\t\t\t<div class='gchoice gchoice_14_736_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_736' type='radio' value='Own the property'  id='choice_14_736_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_14_736\"   \/>\n\t\t\t\t\t<label for='choice_14_736_0' id='label_14_736_0' class='gform-field-label gform-field-label--type-inline'>Own the property<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_736_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_736' type='radio' value='Rent the property'  id='choice_14_736_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_736_1' id='label_14_736_1' class='gform-field-label gform-field-label--type-inline'>Rent the property<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_736_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_736' type='radio' value='gf_other_choice'  id='choice_14_736_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_736_2' id='label_14_736_2' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_14_736_other' class='gchoice_other_control' name='input_736_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_14_737\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datedropdown gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Date the purchase of the property completed?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_14_737' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_14_737_2_container'><label for='input_14_737_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Day<\/label><select name='input_737[]' id='input_14_737_2'   aria-required='true'  ><option value=''>Day<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_14_737_1_container'><label for='input_14_737_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Month<\/label><select name='input_737[]' id='input_14_737_1'   aria-required='true'  ><option value=''>Month<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_14_737_3_container'><label for='input_14_737_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Year<\/label><select name='input_737[]' id='input_14_737_3'   aria-required='true'  ><option value=''>Year<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/fieldset><fieldset id=\"field_14_738\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datedropdown gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Date your tenancy started?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_14_738' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_14_738_2_container'><label for='input_14_738_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Day<\/label><select name='input_738[]' id='input_14_738_2'   aria-required='true'  ><option value=''>Day<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_14_738_1_container'><label for='input_14_738_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Month<\/label><select name='input_738[]' id='input_14_738_1'   aria-required='true'  ><option value=''>Month<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_14_738_3_container'><label for='input_14_738_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Year<\/label><select name='input_738[]' id='input_14_738_3'   aria-required='true'  ><option value=''>Year<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_14_218' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_14_218' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_14_6' class='gform_page' data-js='page-field-id-218' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_14_6' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_14_671\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Overlapping Housing Benefit<\/h3><div class='gsection_description' id='gfield_description_14_671'>If the following dates overlap we may be able to pay Housing Benefit for both properties under certain circumstances. <\/div><\/div><fieldset id=\"field_14_672\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datedropdown gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >What date did your tenancy end at your previous address?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_14_672' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_14_672_2_container'><label for='input_14_672_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Day<\/label><select name='input_672[]' id='input_14_672_2'   aria-required='true'  ><option value=''>Day<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_14_672_1_container'><label for='input_14_672_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Month<\/label><select name='input_672[]' id='input_14_672_1'   aria-required='true'  ><option value=''>Month<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_14_672_3_container'><label for='input_14_672_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Year<\/label><select name='input_672[]' id='input_14_672_3'   aria-required='true'  ><option value=''>Year<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/fieldset><fieldset id=\"field_14_673\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datedropdown gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >What date did your tenancy begin at your new address?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_14_673' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_14_673_2_container'><label for='input_14_673_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Day<\/label><select name='input_673[]' id='input_14_673_2'   aria-required='true'  ><option value=''>Day<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_14_673_1_container'><label for='input_14_673_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Month<\/label><select name='input_673[]' id='input_14_673_1'   aria-required='true'  ><option value=''>Month<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_14_673_3_container'><label for='input_14_673_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Year<\/label><select name='input_673[]' id='input_14_673_3'   aria-required='true'  ><option value=''>Year<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/fieldset><fieldset id=\"field_14_692\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Would you like overlapping Housing Benefit to be considered, if applicable?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_14_692'>\n\t\t\t<div class='gchoice gchoice_14_692_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_692' type='radio' value='Yes'  id='choice_14_692_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_692_0' id='label_14_692_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_692_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_692' type='radio' value='No'  id='choice_14_692_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_692_1' id='label_14_692_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_692_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_692' type='radio' value='Not applicable'  id='choice_14_692_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_692_2' id='label_14_692_2' class='gform-field-label gform-field-label--type-inline'>Not applicable<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_14_674\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Did you move to your new address before your tenancy at your previous address ended?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_14_674'>\n\t\t\t<div class='gchoice gchoice_14_674_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_674' type='radio' value='Yes'  id='choice_14_674_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_674_0' id='label_14_674_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_674_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_674' type='radio' value='No'  id='choice_14_674_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_674_1' id='label_14_674_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_14_675\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Overlapping Housing Benefit (continued)<\/h3><\/div><div id=\"field_14_677\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_677'>When did you give notice to end the tenancy at your previous address?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_677' id='input_14_677' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_14_678\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_678'>How much notice were you required to give at your previous address?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_678' id='input_14_678' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_14_681\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Did you ask for the notice period to be reduced?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_14_681'>\n\t\t\t<div class='gchoice gchoice_14_681_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_681' type='radio' value='Yes'  id='choice_14_681_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_681_0' id='label_14_681_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_681_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_681' type='radio' value='No'  id='choice_14_681_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_681_1' id='label_14_681_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_14_679\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_679'>Please tell us what happened<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_679' id='input_14_679' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_14_682\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datedropdown gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >What date was you offered the tenancy at your new address?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_14_682' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_14_682_2_container'><label for='input_14_682_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Day<\/label><select name='input_682[]' id='input_14_682_2'   aria-required='true'  ><option value=''>Day<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_14_682_1_container'><label for='input_14_682_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Month<\/label><select name='input_682[]' id='input_14_682_1'   aria-required='true'  ><option value=''>Month<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_14_682_3_container'><label for='input_14_682_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Year<\/label><select name='input_682[]' id='input_14_682_3'   aria-required='true'  ><option value=''>Year<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/fieldset><div id=\"field_14_683\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_683'>When did you accept the tenancy at your new address?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_683' id='input_14_683' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_14_684\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_684'>For overlapping benefits to be allowed from the time you moved to the time your tenancy ended (maximum of four weeks), it must be considered unavoidable. Why were you unable to avoid having to pay rent for both properties for the overlapping period?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_684' id='input_14_684' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_14_685\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">About any disabled adaptations<\/h3><div class='gsection_description' id='gfield_description_14_685'>For disabled adaptations we can pay up to four weeks immediately preceding the date you moved, but only if the adaptations are to meet the specific needs of the disabled person. Please provide as much details as you can to show this. <\/div><\/div><fieldset id=\"field_14_686\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Did you delay moving into your new address as the property needed adaptations to meet your households disablement needs?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_14_686'>\n\t\t\t<div class='gchoice gchoice_14_686_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_686' type='radio' value='Yes'  id='choice_14_686_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_686_0' id='label_14_686_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_686_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_686' type='radio' value='No'  id='choice_14_686_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_686_1' id='label_14_686_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_14_688\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_688'>What adaptations were needed to meet your households disablement needs?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_688' id='input_14_688' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_14_689\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_689'>Why were these adaptations needed prior to moving into the property?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_689' id='input_14_689' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_14_716' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_14_716' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_14_7' class='gform_page' data-js='page-field-id-716' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_14_7' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_14_690\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">About your move &#8211; Housing Benefit<\/h3><div class='gsection_description' id='gfield_description_14_690'><a href=\"https:\/\/https:\/\/www.gov.uk\/find-local-council\" target=\"_blank\">Find out who your local council is<\/a>\n<\/div><\/div><fieldset id=\"field_14_691\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Please choose the option that best describes your move to your new address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_14_691'>\n\t\t\t<div class='gchoice gchoice_14_691_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_691' type='radio' value='I have moved within the Thanet District Council area'  id='choice_14_691_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_691_0' id='label_14_691_0' class='gform-field-label gform-field-label--type-inline'>I have moved within the Thanet District Council area<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_691_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_691' type='radio' value='I have moved out of the Thanet District Council area and am not renting from them'  id='choice_14_691_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_691_1' id='label_14_691_1' class='gform-field-label gform-field-label--type-inline'>I have moved out of the Thanet District Council area and am not renting from them<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_691_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_691' type='radio' value='I have moved out of the Thanet District Council area but placed in temporary accommodation by them'  id='choice_14_691_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_691_2' id='label_14_691_2' class='gform-field-label gform-field-label--type-inline'>I have moved out of the Thanet District Council area but placed in temporary accommodation by them<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_14_544\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">About the type or claim and landlord<\/h3><\/div><fieldset id=\"field_14_546\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >What is your current living situation?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_14_546'>\n\t\t\t<div class='gchoice gchoice_14_546_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_546' type='radio' value='I rent my home from Thanet District Council'  id='choice_14_546_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_546_0' id='label_14_546_0' class='gform-field-label gform-field-label--type-inline'>I rent my home from Thanet District Council<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_546_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_546' type='radio' value='I am living in temporary accommodation arranged by Thanet District Council'  id='choice_14_546_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_546_1' id='label_14_546_1' class='gform-field-label gform-field-label--type-inline'>I am living in temporary accommodation arranged by Thanet District Council<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_546_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_546' type='radio' value='I rent from a housing association'  id='choice_14_546_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_546_2' id='label_14_546_2' class='gform-field-label gform-field-label--type-inline'>I rent from a housing association<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_546_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_546' type='radio' value='I rent from a private landlord'  id='choice_14_546_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_546_3' id='label_14_546_3' class='gform-field-label gform-field-label--type-inline'>I rent from a private landlord<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_14_553\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Council tenants<\/h3><\/div><fieldset id=\"field_14_701\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datedropdown gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Tenancy start date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_14_701' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_14_701_2_container'><label for='input_14_701_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Day<\/label><select name='input_701[]' id='input_14_701_2'   aria-required='true'  ><option value=''>Day<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_14_701_1_container'><label for='input_14_701_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Month<\/label><select name='input_701[]' id='input_14_701_1'   aria-required='true'  ><option value=''>Month<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_14_701_3_container'><label for='input_14_701_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Year<\/label><select name='input_701[]' id='input_14_701_3'   aria-required='true'  ><option value=''>Year<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/fieldset><fieldset id=\"field_14_703\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Does anyone else share the rent with you and your partner?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_14_703'>\n\t\t\t<div class='gchoice gchoice_14_703_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_703' type='radio' value='Yes'  id='choice_14_703_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_703_0' id='label_14_703_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_703_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_703' type='radio' value='No'  id='choice_14_703_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_703_1' id='label_14_703_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_14_704\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Tell us their names, the percentages of rent they pay and their relationship to you (and your partner if you have one)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_14_704'>Please list all their names, percentages and relationship to by you and your partner. Enter the information and then click on the + sign to add another row for each type you have.<\/div><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Name<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Relationship<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Percentage of rent paid<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_704_cell1 gform-grid-col' data-label='Name'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_14_704\" aria-label='Name, Row 1' data-aria-label-template='Name, Row {0}' type='text' name='input_704[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_704_cell2 gform-grid-col' data-label='Relationship'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_14_704\" aria-label='Relationship, Row 1' data-aria-label-template='Relationship, Row {0}' type='text' name='input_704[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_704_cell3 gform-grid-col' data-label='Percentage of rent paid'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_14_704\" aria-label='Percentage of rent paid, Row 1' data-aria-label-template='Percentage of rent paid, Row {0}' type='text' name='input_704[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><div id=\"field_14_705\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_705'>How many bedrooms are in the property?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_705' id='input_14_705' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_14_700\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Temporary accommodation<\/h3><\/div><div id=\"field_14_699\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_14_699'>Upload a copy of the placement letter for the accommodation<\/label><div class='gfield_description' id='gfield_description_14_699'>The letter should show how much you are being charged, when the placement began and who placed you in the accommodation.\n<p><p\/> If you do not have it available at the moment you can provide it later.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_14_699' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_14_699&quot;,&quot;container&quot;:&quot;gform_multifile_upload_14_699&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_14_699&quot;,&quot;filelist&quot;:&quot;gform_preview_14_699&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/partnershipone.com\\\/TDC\\\/?gf_page=da30025ee0527cd&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/partnershipone.com\\\/TDC\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/partnershipone.com\\\/TDC\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;3072000b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:14,&quot;field_id&quot;:699,&quot;_gform_file_upload_nonce_14_699&quot;:&quot;0d14e55361&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_14_699&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_14_699' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_14_699' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_14_699 gfield_description_14_699\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_14_699'>Max. file size: 3 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_14_699'><\/ul> <div id='gform_preview_14_699' class='ginput_preview_list'><\/div><\/div><\/div><div id=\"field_14_698\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Housing association tenancy or renting from a private landlord<\/h3><\/div><fieldset id=\"field_14_554\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datedropdown gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Tenancy start date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_14_554' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_14_554_2_container'><label for='input_14_554_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Day<\/label><select name='input_554[]' id='input_14_554_2'   aria-required='true'  ><option value=''>Day<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_14_554_1_container'><label for='input_14_554_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Month<\/label><select name='input_554[]' id='input_14_554_1'   aria-required='true'  ><option value=''>Month<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_14_554_3_container'><label for='input_14_554_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Year<\/label><select name='input_554[]' id='input_14_554_3'   aria-required='true'  ><option value=''>Year<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/fieldset><div id=\"field_14_555\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_555'>How much is the full rent?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_555' id='input_14_555' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_14_556\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_556'>How often is the rent charged?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_556' id='input_14_556' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_14_696\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_696'>What is the length of the current tenancy agreement?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_696' id='input_14_696' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_14_558\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Do you have any weeks when you do not have to pay rent?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_14_558'>\n\t\t\t<div class='gchoice gchoice_14_558_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_558' type='radio' value='Yes'  id='choice_14_558_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_558_0' id='label_14_558_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_558_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_558' type='radio' value='No'  id='choice_14_558_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_558_1' id='label_14_558_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_14_557\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_557'>How many weeks do you not have to pay rent during the year?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_557' id='input_14_557' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_14_560\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_560'>Does your rent include?<\/label><div class='ginput_container ginput_container_select'><select name='input_560' id='input_14_560' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='No meals' >No meals<\/option><option value='Breakfast' >Breakfast<\/option><option value='Part board' >Part board<\/option><option value='Full board' >Full board<\/option><\/select><\/div><\/div><div id=\"field_14_566\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_566'>What sort of accommodation do you rent?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_566' id='input_14_566' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select&#8230;<\/option><option value='Detached house' >Detached house<\/option><option value='Semi-detached house' >Semi-detached house<\/option><option value='Terraced house' >Terraced house<\/option><option value='Maisonette' >Maisonette<\/option><option value='Bungalow' >Bungalow<\/option><option value='Flat in a house' >Flat in a house<\/option><option value='Flat in a block' >Flat in a block<\/option><option value='Flat over a shop' >Flat over a shop<\/option><option value='Bedsit or room' >Bedsit or room<\/option><option value='Hostel' >Hostel<\/option><option value='Hotel' >Hotel<\/option><option value='Board and lodgings' >Board and lodgings<\/option><option value='Residential nursing home' >Residential nursing home<\/option><option value='Residential care home' >Residential care home<\/option><option value='Caravan, mobile home or houseboat' >Caravan, mobile home or houseboat<\/option><\/select><\/div><\/div><div id=\"field_14_562\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_562'>How many bedrooms are in the property?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_562' id='input_14_562' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_14_563\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Does your rent include service charges for any of the following?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_14_563'>If you have any of the following services when providing any rent evidence make sure it includes a breakdown of the amount of any services as they may not be covered by Housing Benefit.<p><\/p>Please select all that apply.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_14_563'><div class='gchoice gchoice_14_563_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_563.1' type='checkbox'  value='Cleaning of your rooms'  id='choice_14_563_1'   aria-describedby=\"gfield_description_14_563\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_14_563_1' id='label_14_563_1' class='gform-field-label gform-field-label--type-inline'>Cleaning of your rooms<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_14_563_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_563.2' type='checkbox'  value='Emergency alarm systems \u2013 such as a lifeline'  id='choice_14_563_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_563_2' id='label_14_563_2' class='gform-field-label gform-field-label--type-inline'>Emergency alarm systems \u2013 such as a lifeline<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_14_563_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_563.3' type='checkbox'  value='Entertainment related charges (including TV licence)'  id='choice_14_563_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_563_3' id='label_14_563_3' class='gform-field-label gform-field-label--type-inline'>Entertainment related charges (including TV licence)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_14_563_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_563.4' type='checkbox'  value='Laundry service'  id='choice_14_563_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_563_4' id='label_14_563_4' class='gform-field-label gform-field-label--type-inline'>Laundry service<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_14_563_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_563.5' type='checkbox'  value='Leisure facilities'  id='choice_14_563_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_563_5' id='label_14_563_5' class='gform-field-label gform-field-label--type-inline'>Leisure facilities<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_14_563_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_563.6' type='checkbox'  value='Personal care and support charges'  id='choice_14_563_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_563_6' id='label_14_563_6' class='gform-field-label gform-field-label--type-inline'>Personal care and support charges<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_14_563_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_563.7' type='checkbox'  value='Personal fuel \u2013 for cooking, heating and lighting'  id='choice_14_563_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_563_7' id='label_14_563_7' class='gform-field-label gform-field-label--type-inline'>Personal fuel \u2013 for cooking, heating and lighting<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_14_563_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_563.8' type='checkbox'  value='Water and sewerage charged for you (not communal)'  id='choice_14_563_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_563_8' id='label_14_563_8' class='gform-field-label gform-field-label--type-inline'>Water and sewerage charged for you (not communal)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_14_563_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_563.9' type='checkbox'  value='None of the above'  id='choice_14_563_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_563_9' id='label_14_563_9' class='gform-field-label gform-field-label--type-inline'>None of the above<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_14_569\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Were you able to meet the financial commitments for the dwelling when you took on the tenancy?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_14_569'>This means the rent, Council Tax and bills for the dwelling<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_14_569'>\n\t\t\t<div class='gchoice gchoice_14_569_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_569' type='radio' value='Yes'  id='choice_14_569_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_14_569\"   \/>\n\t\t\t\t\t<label for='choice_14_569_0' id='label_14_569_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_569_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_569' type='radio' value='No'  id='choice_14_569_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_569_1' id='label_14_569_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_14_570\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Have you (or your partner if you have one) been entitled to Housing Benefit within the last 52 weeks?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_14_570'>\n\t\t\t<div class='gchoice gchoice_14_570_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_570' type='radio' value='Yes'  id='choice_14_570_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_570_0' id='label_14_570_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_570_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_570' type='radio' value='No'  id='choice_14_570_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_570_1' id='label_14_570_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_14_571\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are you behind with your rent?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_14_571'>\n\t\t\t<div class='gchoice gchoice_14_571_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_571' type='radio' value='Yes'  id='choice_14_571_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_571_0' id='label_14_571_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_571_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_571' type='radio' value='No'  id='choice_14_571_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_571_1' id='label_14_571_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_14_572\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_572'>How much are your rent arrears?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_572' id='input_14_572' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_14_579\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Have you (or your partner if you have one) owned your current home in the last 5 years?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_14_579'>\n\t\t\t<div class='gchoice gchoice_14_579_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_579' type='radio' value='Yes'  id='choice_14_579_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_579_0' id='label_14_579_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_579_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_579' type='radio' value='No'  id='choice_14_579_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_579_1' id='label_14_579_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_14_573\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">About the rooms in the dwelling<\/h3><div class='gsection_description' id='gfield_description_14_573'>Please tell us how many rooms there are in the dwelling and confirm the number of each type<\/div><\/div><fieldset id=\"field_14_574\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Number of bedrooms<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">In whole dwelling<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Just for you and your household<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">That you share with other people<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_574_cell1 gform-grid-col' data-label='In whole dwelling'><input aria-invalid='false' aria-required=\"true\"  aria-label='In whole dwelling, Row 1' data-aria-label-template='In whole dwelling, Row {0}' type='text' name='input_574[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_574_cell2 gform-grid-col' data-label='Just for you and your household'><input aria-invalid='false' aria-required=\"true\"  aria-label='Just for you and your household, Row 1' data-aria-label-template='Just for you and your household, Row {0}' type='text' name='input_574[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_574_cell3 gform-grid-col' data-label='That you share with other people'><input aria-invalid='false' aria-required=\"true\"  aria-label='That you share with other people, Row 1' data-aria-label-template='That you share with other people, Row {0}' type='text' name='input_574[]' value=''   \/><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_14_575\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Number of kitchens<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">In whole dwelling<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Just for you and your household<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">That you share with other people<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_575_cell1 gform-grid-col' data-label='In whole dwelling'><input aria-invalid='false' aria-required=\"true\"  aria-label='In whole dwelling, Row 1' data-aria-label-template='In whole dwelling, Row {0}' type='text' name='input_575[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_575_cell2 gform-grid-col' data-label='Just for you and your household'><input aria-invalid='false' aria-required=\"true\"  aria-label='Just for you and your household, Row 1' data-aria-label-template='Just for you and your household, Row {0}' type='text' name='input_575[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_575_cell3 gform-grid-col' data-label='That you share with other people'><input aria-invalid='false' aria-required=\"true\"  aria-label='That you share with other people, Row 1' data-aria-label-template='That you share with other people, Row {0}' type='text' name='input_575[]' value=''   \/><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_14_576\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Number of bathrooms<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">In whole dwelling<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Just for you and your household<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">That you share with other people<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_576_cell1 gform-grid-col' data-label='In whole dwelling'><input aria-invalid='false' aria-required=\"true\"  aria-label='In whole dwelling, Row 1' data-aria-label-template='In whole dwelling, Row {0}' type='text' name='input_576[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_576_cell2 gform-grid-col' data-label='Just for you and your household'><input aria-invalid='false' aria-required=\"true\"  aria-label='Just for you and your household, Row 1' data-aria-label-template='Just for you and your household, Row {0}' type='text' name='input_576[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_576_cell3 gform-grid-col' data-label='That you share with other people'><input aria-invalid='false' aria-required=\"true\"  aria-label='That you share with other people, Row 1' data-aria-label-template='That you share with other people, Row {0}' type='text' name='input_576[]' value=''   \/><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_14_577\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Number of toilets<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">In whole dwelling<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Just for you and your household<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">That you share with other people<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_577_cell1 gform-grid-col' data-label='In whole dwelling'><input aria-invalid='false' aria-required=\"true\"  aria-label='In whole dwelling, Row 1' data-aria-label-template='In whole dwelling, Row {0}' type='text' name='input_577[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_577_cell2 gform-grid-col' data-label='Just for you and your household'><input aria-invalid='false' aria-required=\"true\"  aria-label='Just for you and your household, Row 1' data-aria-label-template='Just for you and your household, Row {0}' type='text' name='input_577[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_577_cell3 gform-grid-col' data-label='That you share with other people'><input aria-invalid='false' aria-required=\"true\"  aria-label='That you share with other people, Row 1' data-aria-label-template='That you share with other people, Row {0}' type='text' name='input_577[]' value=''   \/><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_14_578\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Number of other rooms<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">In whole dwelling<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Just for you and your household<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">That you share with other people<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_578_cell1 gform-grid-col' data-label='In whole dwelling'><input aria-invalid='false' aria-required=\"true\"  aria-label='In whole dwelling, Row 1' data-aria-label-template='In whole dwelling, Row {0}' type='text' name='input_578[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_578_cell2 gform-grid-col' data-label='Just for you and your household'><input aria-invalid='false' aria-required=\"true\"  aria-label='Just for you and your household, Row 1' data-aria-label-template='Just for you and your household, Row {0}' type='text' name='input_578[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_578_cell3 gform-grid-col' data-label='That you share with other people'><input aria-invalid='false' aria-required=\"true\"  aria-label='That you share with other people, Row 1' data-aria-label-template='That you share with other people, Row {0}' type='text' name='input_578[]' value=''   \/><\/div><\/div><\/div><\/div><\/div><\/fieldset><div id=\"field_14_586\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">About the landlord<\/h3><\/div><div id=\"field_14_589\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_589'>Landlord&#039;s name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_14_589'>By landlord we mean the person or organisation who owns the property you live in<\/div><div class='ginput_container ginput_container_text'><input name='input_589' id='input_14_589' type='text' value='' class='large'  aria-describedby=\"gfield_description_14_589\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_14_583\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_583'>Landlord&#039;s business address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_583' id='input_14_583' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_14_582\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_582'>Landlord&#039;s business postcode<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_582' id='input_14_582' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_14_587\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Does your landlord have an agent?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_14_587'>By agent we mean the person or organisation you actually pay your rent to. <\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_14_587'>\n\t\t\t<div class='gchoice gchoice_14_587_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_587' type='radio' value='Yes'  id='choice_14_587_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_14_587\"   \/>\n\t\t\t\t\t<label for='choice_14_587_0' id='label_14_587_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_587_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_587' type='radio' value='No'  id='choice_14_587_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_587_1' id='label_14_587_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_14_581\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_581'>Agent&#039;s name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_581' id='input_14_581' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_14_591\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_591'>Agent&#039;s address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_591' id='input_14_591' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_14_590\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_590'>Agent&#039;s postcode<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_590' id='input_14_590' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_14_592\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are you, your partner, or any of your or your partner\u2019s children related to your landlord or agent, or to your landlord\u2019s partner or the agent\u2019s partner?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_14_592'>Related includes related through marriage, even if the marriage has ended. Some examples are ex-wife, ex-husband, aunt, brother, daughter, father, grandson, grandmother, son-in-law or stepdaughter. <\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_14_592'>\n\t\t\t<div class='gchoice gchoice_14_592_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_592' type='radio' value='Yes'  id='choice_14_592_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_14_592\"   \/>\n\t\t\t\t\t<label for='choice_14_592_0' id='label_14_592_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_592_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_592' type='radio' value='No'  id='choice_14_592_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_592_1' id='label_14_592_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_14_584\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_584'>What is the relationship and who is it between?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_584' id='input_14_584' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_14_593\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >If your landlord is a company, are you, your partner or any close relatives a director or employee of the company?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_14_593'>\n\t\t\t<div class='gchoice gchoice_14_593_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_593' type='radio' value='Yes'  id='choice_14_593_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_593_0' id='label_14_593_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_593_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_593' type='radio' value='No'  id='choice_14_593_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_593_1' id='label_14_593_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_593_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_593' type='radio' value='Landlord is not a company'  id='choice_14_593_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_593_2' id='label_14_593_2' class='gform-field-label gform-field-label--type-inline'>Landlord is not a company<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_14_594\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >If your landlord is a trust are any of your children, or your partner\u2019s children, or any members of your household a beneficiary of the trust?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_14_594'>\n\t\t\t<div class='gchoice gchoice_14_594_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_594' type='radio' value='Yes'  id='choice_14_594_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_594_0' id='label_14_594_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_594_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_594' type='radio' value='No'  id='choice_14_594_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_594_1' id='label_14_594_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_594_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_594' type='radio' value='Landlord is not a trust'  id='choice_14_594_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_594_2' id='label_14_594_2' class='gform-field-label gform-field-label--type-inline'>Landlord is not a trust<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_14_595' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_14_595' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_14_8' class='gform_page' data-js='page-field-id-595' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_14_8' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_14_596\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Payment of Housing Benefit<\/h3><\/div><fieldset id=\"field_14_604\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Who would you like us to pay your Housing Benefit to?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_14_604'>\n\t\t\t<div class='gchoice gchoice_14_604_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_604' type='radio' value='To me'  id='choice_14_604_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_604_0' id='label_14_604_0' class='gform-field-label gform-field-label--type-inline'>To me<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_604_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_604' type='radio' value='To the landlord (If we do not already hold their payment details we will contact them directly to obtain)'  id='choice_14_604_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_604_1' id='label_14_604_1' class='gform-field-label gform-field-label--type-inline'>To the landlord (If we do not already hold their payment details we will contact them directly to obtain)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_14_603\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3>Payment of Housing Benefit for housing association tenancies<\/h3>\n\nTell us about the account you want us to pay your benefit into. <p><\/p> \n\nWe are not able to make payments into some accounts, such as Individual Savings Accounts (ISAs), Post Office Card Accounts and some Savings Accounts. If you are unsure whether you have a suitable bank account or would like help to open an account, please contact us or your local Citizens Advice Bureau. <\/div><div id=\"field_14_706\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3>Payment of Housing Benefit for private tenants<\/h3>Most Housing Benefit cases for private tenants will be based on Local Housing Allowance. \n<p><\/p>\nFor cases based on Local Housing Allowance payment of Housing Benefit will normally be made directly to you, although we can consider paying your landlord if there are good reasons to do so. \n<p><\/p>\n Tell us about the account you want us to pay your benefit into.  The account provided should be you or your partner\u2019s account. \n<p><\/p>\nWe are not able to make payments into some accounts, such as Individual Savings Accounts (ISAs), Post Office Card Accounts and some Savings Accounts. If you are unsure whether you have a suitable bank account or would like help to open an account, please contact us or your local Citizens Advice Bureau. <\/div><div id=\"field_14_605\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Bank or building society account details<\/h3><\/div><div id=\"field_14_597\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_597'>Name of the account holder<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_597' id='input_14_597' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_14_630\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_630'>Bank or building society name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_630' id='input_14_630' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_14_598\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_598'>Account number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_14_598'>This will be the 8 digit account number shown on your bank statement<\/div><div class='ginput_container ginput_container_text'><input name='input_598' id='input_14_598' type='text' value='' class='large'  aria-describedby=\"gfield_description_14_598\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_14_599\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_599'>Sort code<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_14_599'>Please enter numbers only, for example 11-22-33<\/div><div class='ginput_container ginput_container_text'><input name='input_599' id='input_14_599' type='text' value='' class='large'  aria-describedby=\"gfield_description_14_599\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_14_707\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Would you like us to consider paying your landlord instead of you?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_14_707'>\n\t\t\t<div class='gchoice gchoice_14_707_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_707' type='radio' value='Yes'  id='choice_14_707_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_707_0' id='label_14_707_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_707_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_707' type='radio' value='No'  id='choice_14_707_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_707_1' id='label_14_707_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_14_708\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Reasons for the payment change<\/h3><div class='gsection_description' id='gfield_description_14_708'>If we do not already hold their payment details we will contact them directly to obtain should we decide to pay them instead of you.  Please let us know if any of the following apply, and provide supporting evidence if available. \n<\/div><\/div><div id=\"field_14_709\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >Reason for paying the LHA to the landlord and proof we need to see:\n<p><ul style=\"list-style-type:disc\">\n\n<li><strong>Unable to open a bank or building society account<\/strong> &#8211; letters from banks, building societies and credit unions. Letters from debt\/money advisors. <\/li>\n\n<li><strong>This will help me keep or get a tenancy <\/strong> &#8211; letter from landlord or letting agent <\/li>\n\n<li><strong>Cannot read, write or speak English <\/strong> &#8211; written evidence from support organisations <\/li>\n\n<li><strong>Addiction to drugs, alcohol or gambling <\/strong> &#8211; written evidence from care worker, GP, support organisations, government departments <\/li>\n\n<li><strong>Fleeing domestic violence <\/strong> &#8211; written evidence from women\u2019s refuge, support organisations, care workers, social services <\/li>\n\n<li><strong>Recent care leavers or receive help from a support organisation <\/strong> &#8211; written evidence from care worker, GP, other qualified medical practitioners, social services, government departments <\/li>\n\n<li><strong>Just left prison following a long sentence <\/strong> &#8211; written evidence from The Probation Service <\/li>\n\n<li><strong>Severe debt problems or recent County Court Judgments <\/strong>&#8211; letters from banks, building societies and credit unions. Letters from debt\/money advisors or solicitors.  Copy of court order <\/li>\n\n<li><strong>No experience of paying rent, or have difficulty in doing so <\/strong> &#8211; written evidence from support organisations <\/li>\n\n<li><strong>Undischarged bankrupt <\/strong>&#8211; copy of court order <\/li>\n\n<li><strong>Learning disabilities <\/strong> &#8211; written evidence from care worker, GP, other qualified medical practitioners, social services, government departments <\/li><\/p><\/div><fieldset id=\"field_14_710\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Reason for paying the LHA to the landlord?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_14_710'>Please select all that apply<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_14_710'><div class='gchoice gchoice_14_710_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_710.1' type='checkbox'  value='Unable to open a bank or building society account'  id='choice_14_710_1'   aria-describedby=\"gfield_description_14_710\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_14_710_1' id='label_14_710_1' class='gform-field-label gform-field-label--type-inline'>Unable to open a bank or building society account<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_14_710_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_710.2' type='checkbox'  value='This will help me keep or get a tenancy'  id='choice_14_710_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_710_2' id='label_14_710_2' class='gform-field-label gform-field-label--type-inline'>This will help me keep or get a tenancy<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_14_710_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_710.3' type='checkbox'  value='Cannot read, write or speak English'  id='choice_14_710_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_710_3' id='label_14_710_3' class='gform-field-label gform-field-label--type-inline'>Cannot read, write or speak English<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_14_710_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_710.4' type='checkbox'  value='Addiction to drugs, alcohol or gambling'  id='choice_14_710_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_710_4' id='label_14_710_4' class='gform-field-label gform-field-label--type-inline'>Addiction to drugs, alcohol or gambling<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_14_710_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_710.5' type='checkbox'  value='Fleeing domestic violence'  id='choice_14_710_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_710_5' id='label_14_710_5' class='gform-field-label gform-field-label--type-inline'>Fleeing domestic violence<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_14_710_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_710.6' type='checkbox'  value='Recent care leavers or receive help from a support organisation'  id='choice_14_710_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_710_6' id='label_14_710_6' class='gform-field-label gform-field-label--type-inline'>Recent care leavers or receive help from a support organisation<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_14_710_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_710.7' type='checkbox'  value='Just left prison following a long sentence'  id='choice_14_710_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_710_7' id='label_14_710_7' class='gform-field-label gform-field-label--type-inline'>Just left prison following a long sentence<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_14_710_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_710.8' type='checkbox'  value='Severe debt problems or recent County Court Judgments'  id='choice_14_710_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_710_8' id='label_14_710_8' class='gform-field-label gform-field-label--type-inline'>Severe debt problems or recent County Court Judgments<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_14_710_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_710.9' type='checkbox'  value='No experience of paying rent, or have difficulty in doing so'  id='choice_14_710_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_710_9' id='label_14_710_9' class='gform-field-label gform-field-label--type-inline'>No experience of paying rent, or have difficulty in doing so<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_14_710_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_710.11' type='checkbox'  value='Undischarged bankrupt'  id='choice_14_710_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_710_11' id='label_14_710_11' class='gform-field-label gform-field-label--type-inline'>Undischarged bankrupt<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_14_710_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_710.12' type='checkbox'  value='Learning disabilities'  id='choice_14_710_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_710_12' id='label_14_710_12' class='gform-field-label gform-field-label--type-inline'>Learning disabilities<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_14_710_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_710.13' type='checkbox'  value='None of the above'  id='choice_14_710_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_710_13' id='label_14_710_13' class='gform-field-label gform-field-label--type-inline'>None of the above<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_14_711\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_711'>Please explain why payments of your LHA should be made directly to your landlord<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_711' id='input_14_711' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_14_626' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_14_626' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_14_9' class='gform_page' data-js='page-field-id-626' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_14_9' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_14_627\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Sharing information<\/h3><\/div><div id=\"field_14_628\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p>Sharing information with your landlord could help us deal with your claim more quickly and reduce the risk of you falling behind with your rent because of your claim being delayed. <\/p>\n\n<p>We may need to confirm information with your landlord before we can make a decision on your claim, for example, the start date of your tenancy. In these circumstances we can contact your landlord without your permission. Under the Data Protection Act 1998 we may need your permission to discuss anything else.*<\/p>\n\n<p>If you give us permission, we would be able to tell your landlord whether:<\/p>\n\n<ul style=\"list-style-type:disc\">\n\t<li>you have claimed Housing Benefit<\/li>\n\t<li>we have made a decision on your claim<\/li>\n\t<li>we have made a payment to you or<\/li>\n\t<li>we need more information to make a decision on your claim, and, if so, what information we need.<\/li>\n<\/ul>\n<p><\/p>\n<p>We will not give your landlord any information about:<\/p>\n<p><\/p>\n<ul style=\"list-style-type:disc\">\n\t<li>your personal or household circumstances or<\/li>\n\t<li>your financial circumstances.<\/li>\n<\/ul>\n<p><\/p>\n<p>You can withdraw your permission at any time. It will not affect your claim if you don&#8217;t give us permission to discuss your claim with your landlord. &nbsp;If you want to give us permission to discuss your claim with your landlord, please check the box below.<\/p>\n<p><\/p>\n<p>*In certain circumstances, under the Welfare Reform Act 2012, we can share information with your landlord without your permission. &nbsp;We will only do this where the circumstances of your claim allow this to happen.<\/p>\n<\/div><fieldset id=\"field_14_629\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Sharing information with your landlord, or their agent (optional)<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_14_629'><div class='gchoice gchoice_14_629_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_629.1' type='checkbox'  value='I give my council permission to share information with my landlord, or their agent'  id='choice_14_629_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_629_1' id='label_14_629_1' class='gform-field-label gform-field-label--type-inline'>I give my council permission to share information with my landlord, or their agent<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_14_316' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_14_316' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_14_10' class='gform_page' data-js='page-field-id-316' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_14_10' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_14_164\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">About the proof you need to provide<\/h3><div class='gsection_description' id='gfield_description_14_164'>Below is a list showing what evidence will be needed, this is a general list to provide guidance on what we will need. \n<p><\/p>\nIf you don\u2019t have the evidence don\u2019t worry, just submit the form without it and we will let you know if we need any further evidence in support of your claim. \n<p><\/p>\n<h3>Proof you (and your partner if you have one) need to upload<\/h3>\n<p><\/p>\n<strong>Council property<\/strong> &#8211; If you are renting a council property from the Local Authority you do not need to provide any evidence. \n<p><\/p>\n<strong>Housing association<\/strong> &#8211; If you are renting from a housing association you will need to provide a copy of your tenancy agreement for your new address, this should also include a breakdown of services if they are included in your rent. \n<p><\/p>\n<strong>Private tenant<\/strong> &#8211; If you are a private tenant a copy of your new tenancy agreement or a letter from your landlord confirming the tenancy start date, rent being charged, and how often it is charged. \n<p><\/p><\/div><\/div><fieldset id=\"field_14_662\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Will you upload your proof now or within one calendar month?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_14_662'>\n\t\t\t<div class='gchoice gchoice_14_662_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_662' type='radio' value='I will upload my proof to this form now'  id='choice_14_662_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_662_0' id='label_14_662_0' class='gform-field-label gform-field-label--type-inline'>I will upload my proof to this form now<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_662_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_662' type='radio' value='I can&#039;t upload my proof to this form now, I&#039;ll send it within one calendar month'  id='choice_14_662_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_662_1' id='label_14_662_1' class='gform-field-label gform-field-label--type-inline'>I can&#8217;t upload my proof to this form now, I&#8217;ll send it within one calendar month<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_14_663\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_14_663'>Please upload proof of any documents we need to see:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_14_663'>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 5 uploads, each document should be no bigger than 2MB<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_14_663' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_14_663&quot;,&quot;container&quot;:&quot;gform_multifile_upload_14_663&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_14_663&quot;,&quot;filelist&quot;:&quot;gform_preview_14_663&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/partnershipone.com\\\/TDC\\\/?gf_page=da30025ee0527cd&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/partnershipone.com\\\/TDC\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/partnershipone.com\\\/TDC\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;20971520b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:14,&quot;field_id&quot;:663,&quot;_gform_file_upload_nonce_14_663&quot;:&quot;4f89413dae&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:&quot;10&quot;,&quot;message_id&quot;:&quot;gform_multifile_messages_14_663&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_14_663' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_14_663' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_14_663 gfield_description_14_663\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_14_663'>Max. file size: 20 MB, Max. files: 10.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_14_663'><\/ul> <div id='gform_preview_14_663' class='ginput_preview_list'><\/div><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_14_664' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_14_664' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_14_11' class='gform_page' data-js='page-field-id-664' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_14_11' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_14_712\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Other changes<\/h3><\/div><fieldset id=\"field_14_713\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are there any other changes in your circumstances that we need to know about?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_14_713'>Such as change income or who is living with you.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_14_713'>\n\t\t\t<div class='gchoice gchoice_14_713_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_713' type='radio' value='No, apart from my change in address there are no other changes in my circumstances and the information you currently hold is correct'  id='choice_14_713_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_14_713\"   \/>\n\t\t\t\t\t<label for='choice_14_713_0' id='label_14_713_0' class='gform-field-label gform-field-label--type-inline'>No, apart from my change in address there are no other changes in my circumstances and the information you currently hold is correct<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_713_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_713' type='radio' value='Yes, there are other changes in my circumstances in addition to my move that I need to tell you about'  id='choice_14_713_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_713_1' id='label_14_713_1' class='gform-field-label gform-field-label--type-inline'>Yes, there are other changes in my circumstances in addition to my move that I need to tell you about<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_14_717\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Tell us about a change<\/h3><div class='gsection_description' id='gfield_description_14_717'>You need to tell us straight away about any change that affects your benefits.\n<p><\/p>\nIf you&#8217;re not sure if your change will affect your claim, please tell us anyway.\n\n<a href=\"https:\/\/www.thanet.gov.uk\/info-pages\/tell-us-about-a-change\/\" target=\"_blank\">Tell us about a change<\/a>.<\/div><\/div><div id=\"field_14_153\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">About any other information<\/h3><div class='gsection_description' id='gfield_description_14_153'>If there is any information you want to tell us about that hasn\u2019t been covered previously, or additional information you want to provide to support your claim tell us below. <\/div><\/div><div id=\"field_14_154\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_154'>Other information<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_154' id='input_14_154' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_14' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='submit' id='gform_submit_button_14' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_14' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_14' id='gform_theme_14' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_14' id='gform_style_settings_14' value='{&quot;inputBorderColor&quot;:&quot;#000000&quot;,&quot;inputColor&quot;:&quot;#000000&quot;,&quot;inputPrimaryColor&quot;:&quot;#00557E&quot;,&quot;labelColor&quot;:&quot;##00557E&quot;,&quot;descriptionColor&quot;:&quot;#000000&quot;,&quot;buttonPrimaryBackgroundColor&quot;:&quot;#00557E&quot;}' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_14' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='14' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='GBP' value='vShqDGmTVxPcPXBvZ1\/jEv2JDn6cT7KhE\/8gCUlaq91C4LuUnTIkc\/fpLPwvG4OLtSHelxt\/cdYkD4u7I6t5Xqyi2W4M6vpa\/Lx1oH\/rPRgncsw=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_14' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_14' id='gform_target_page_number_14' value='2' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_14' id='gform_source_page_number_14' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            <input type='hidden' name='gform_uploaded_files' id='gform_uploaded_files_14' value='' \/>\n        <\/div>\n             <\/div><\/div>\n                        <\/form>\n                        <\/div><script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 14, 'https:\/\/partnershipone.com\/TDC\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', false );jQuery('#gform_ajax_frame_14').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_14');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_14').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_14').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_14').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_14').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_14').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_14').val();gformInitSpinner( 14, 'https:\/\/partnershipone.com\/TDC\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', false );jQuery(document).trigger('gform_page_loaded', [14, current_page]);window['gf_submitting_14'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_14').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_14').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [14]);window['gf_submitting_14'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_14').text());}else{jQuery('#gform_14').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"14\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_14\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_14\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_14\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 14, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} );\n<\/script>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-1177","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/partnershipone.com\/TDC\/wp-json\/wp\/v2\/pages\/1177","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/partnershipone.com\/TDC\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/partnershipone.com\/TDC\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/partnershipone.com\/TDC\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/partnershipone.com\/TDC\/wp-json\/wp\/v2\/comments?post=1177"}],"version-history":[{"count":4,"href":"https:\/\/partnershipone.com\/TDC\/wp-json\/wp\/v2\/pages\/1177\/revisions"}],"predecessor-version":[{"id":1198,"href":"https:\/\/partnershipone.com\/TDC\/wp-json\/wp\/v2\/pages\/1177\/revisions\/1198"}],"wp:attachment":[{"href":"https:\/\/partnershipone.com\/TDC\/wp-json\/wp\/v2\/media?parent=1177"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}