Discretionary housing payment application form

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Use this form to ask for additional help towards your rent. You must be receiving Housing Benefit (or Universal Credit, with a housing element included) to apply.

To complete this form you will need

  • your contact details
  • details of your income and expenses
  • copy of your bank statements


You have 10 minutes to complete each page of the form so you might want to gather information about your income and expenditure before starting the form.

The Council take your privacy seriously.

We hold and process all personal information in line with data protection legislation.

You can find out how we manage and process your data in our privacy policy

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