Downloadable Forms
This page contains forms you can download and print. You need to complete these forms by hand and send or bring them to one of our offices. You can find the addresses on our How to Contact Us page.
Unfortunately, it is not possible to make an online application for benefit at this time.
- Claim form for Housing Benefit and Council Tax Benefit - Use this form to make a claim for benefit. You may also need to download one of the other forms below. When you have downloaded this form you must contact us to establish the date of claim. You may lose money if you do not do so.
- Haringey Pay Form - This form is for your employer to tell us about your wages. Please use it if you do not have the wage slips we need.
- Self Employed Supplement - This form must be completed if you are self-employed and do not have profit and loss accounts.
- Appeal Form - Use this form if you want to appeal against a decision we have made. You can find out more about this on the frequently asked questions page.
- Application for a 'Pre-Tenancy Determination' - Use this form if you want to apply for a 'Pre-Tenancy Determination. Please return your completed form to:
The Benefits Service
Haringey Council
PO Box 10505
Wood Green
London
N22 7WJ - Change of Circumstances Form - Use this form if you need to report a change of circumstances that may affect your claim
| File name | File Type | Size |
|---|---|---|
| Appeal Form (colour version) | 607KB | |
| Application for a ‘Pre Tenancy Determination’ | 1.22MB | |
| Basic bank account leaflet | 545KB | |
| Change of Address Form | 2.10MB | |
| Change of Circumstances Form | 33KB | |
| Change of Circumstances Leaflet | 126KB | |
| Claim form for Housing Benefit and Council Tax Benefit (colour version) | 354KB | |
| Discretionary Housing Payment Form (colour version) | 598KB | |
| Haringey Pay Form (colour version) | 91KB | |
| 'Information we need from you' leaflet (colour version) | 482KB | |
| Local Housing Allowance Leaflet (colour version) | 771KB | |
| Self Employed Supplement (black and white version) | 102KB | |
| Self Employed Supplement (colour version) | 160KB | |
| 8 week rent arrears form (PDF version) | 38KB | |
| 8 week rent arrears form (Word version) | Word | 200KB |






