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.

Some of these forms can be downloaded in colour or black and white. If you are using a colour printer we recommend that you use the Black and White version of the form to save on ink.

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 nameFile TypeSize
Local Housing Allowance leafletPDF609KB
Change of Circumstances formPDF427KB
Basic bank account leafletPDF545KB
Claim form for Housing Benefit and Council Tax Benefit (colour version)PDF354KB
Claim form for Housing Benefit and Council Tax Benefit (black and white version)PDF304KB
Haringey Pay Form (colour version)PDF91KB
Haringey Pay Form (black and white version)PDF62KB
Self Employed Supplement (colour version)PDF160KB
Self Employed Supplement (black and white version)PDF102KB
Appeal Form (colour version)PDF607KB
Discretionary Housing Payment Form (colour version)PDF598KB
Application for a ‘Pre Tenancy Determination’PDF1.22MB
Change of Circumstances FormPDF428KB
Change of Circumstances LeafletPDF917KB
'Information we need from you' leaflet (colour version)PDF482KB
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Page Last Updated: 24 October 2008

This page belongs to the following categories :
- Housing > Housing finance > Housing benefits

 
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